Individual
ANNITA JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10237 S WESTERN AVE, CHICAGO, IL 60643-1917
(773) 238-1616
(773) 238-2657
Mailing address
10237 S WESTERN AVE, CHICAGO, IL 60643-1917
(773) 238-1616
(773) 238-2657
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036074698
IL
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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