Annie John, M.D.S.C.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036-068169 Issued in IL

Legal business name

ANNIE JOHN, M.D.S.C.

Practice address

3434 W Peterson Ave
1A
Chicago, IL 60659-3319

Phone

(773) 583-5803

NPI assigned

Nov 15, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Annie John, M.D.

Title

President

Phone

(773) 989-3977

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey B Bernfield, M.D.

  • Diagnostic Radiology Physician
  • Riverwoods, IL
  • NPI 1144207416
  NPD (past)
• Donna Myers, N.P.

  • Gerontology Nurse Practitioner
  • Chicago, IL
  • NPI 1942262134
  NPD (past)
• Jeong Ho Ryu, MD

  • Neurology Physician
  • Chicago, IL
  • NPI 1730163189
  NPD (past)
• Jay L. Korach, M.D.

  • Diagnostic Radiology Physician
  • Munster, IN
  • NPI 1306823570
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1114909363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 2248",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601322248",
            "telephone_number": "847-676-0091",
            "fax_number": "847-676-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W PETERSON AVE",
            "address_2": "1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593319",
            "telephone_number": "773-583-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE JOHN, M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-989-3977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "209-003580",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036-068169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068169",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anneliese Moy, LCSW, LLC
• Jamie Annes, OT
• Joshua Annex
• Annie B. Jones Community Services, Inc
• Annie Felice, LCPC, PC
• Annita John M.D. P.C.
• Ellyn Janine Annoreno, PTA
• Julie Ann Annulis, PT
• Margaret Ann Cathleen Annunziata
• Anointed Hands Healthcare

• Geriatric Medicine (Internal Medicine) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.