Heritage Medical

LBN: Annita John M.D. P.C.
Heritage Medical is an health care organization with primary practice located at 10237 S Western Ave , Chicago IL 60643-1917. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Annita John M.D. P.C. can be contacted via phone (773) 238-1616, or through John, Annita via phone (773) 238-1616.

Contact Information

Primary practice address
10237 S Western Ave Chicago IL 60643-1917
Phone: (773) 238-1616
Fax: (773) 238-2660
Website:
Map and Directions
Authorized official contact:
Name: John, Annita Doctor of Medicine (MD)
Phone: (773) 238-1616

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1225231707
LBN Legal business name Annita John M.D. P.C.
DBA Doing business as Heritage Medical
Authorized official John, Annita Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2007
Last updated May 5th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225231707 NPPES
Illinois Other 0161873463 BCBS

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