Annie John, M.D.S.C.
LBN: Annie John, M.D.S.C.
Annie John, M.D.S.C. is an health care organization with primary practice located at 3434 W Peterson Ave 1A, Chicago IL 60659-3319. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty.
Annie John, M.D.S.C. can be contacted via phone (773) 583-5803, or through John, Annie via phone (773) 989-3977.
Contact Information
Primary practice address
3434 W Peterson Ave 1A
Chicago IL 60659-3319
Phone: (773) 583-5803
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 209-003580 | Illinois |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 036-068169 | Illinois |
Profile Details
| NPI number | 1114909363 |
|---|---|
| LBN Legal business name | Annie John, M.D.S.C. |
| DBA Doing business as | |
| Authorized official | John, Annie Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Sep 14th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114909363 | NPPES |
| Illinois | MEDICAID | 036068169 |
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