Houston, John The Baptist

Houston, John The Baptist is an individual health care provider with primary practice located at 2400 N Ashland Ave Suite 200, Chicago IL 60614-2021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Houston, John The Baptist can be contacted via phone (312) 632-0032.

Contact Information

Primary practice address
2400 N Ashland Ave Suite 200 Chicago IL 60614-2021
Phone: (312) 632-0032
Fax: (773) 409-5089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036-100082 Illinois
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 036100082 Illinois

Profile Details

NPI number 1306831938
LBN Legal business name Houston, John The Baptist
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Apr 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306831938 NPPES
Illinois MEDICAID 036100082
Illinois Other 01634125
Illinois MEDICAID 100013160B

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