Organization
ANNIE JOHN, M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE JOHN M.D. (PRESIDENT)
(773) 989-3977
Entity
Organization
Contact information
Practice address
3434 W PETERSON AVE, 1A, CHICAGO, IL 60659-3319
(773) 583-5803
Mailing address
P. O. BOX 2248, CAROL STREAM, IL 60132-2248
(847) 676-0091
(847) 676-2374
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
209-003580
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036-068169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068169
—
IL
Enumeration date
11/15/2005
Last updated
09/14/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up