John, Annie
John, Annie is an sole proprietor health care provider with primary practice located at 3434 W Peterson Ave 1A, Chicago IL 60659-3319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. John, Annie can be contacted via phone (773) 583-5803.Contact Information
Primary practice address
3434 W Peterson Ave 1A
Chicago IL 60659-3319
Phone: (773) 583-5803
Fax: (773) 248-2348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 036068169 | Illinois |
Profile Details
| NPI number | 1225013998 |
|---|---|
| LBN Legal business name | John, Annie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jun 17th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225013998 | NPPES |
| Illinois | MEDICAID | 036068169 |
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