Annie John, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036068169 Issued in IL

Practice address

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

Phone

(773) 583-5803

Fax

(773) 248-2348

NPI assigned

Dec 14, 2005

Last updated

Jun 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advocate Health and Hospitals Corporation

  dba Advocate Medical Group

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  Medicare reassignment NPD
• Journeycare, Inc

  • Community Based Hospice Care Agency
  • Barrington, IL
  • NPI 1154324994
  Medicare reassignment NPD
• Annie John, M.D.S.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1114909363
  Authorized official Same address or phone
• Advocate Health & Hospitals Corporation

  dba Advocate Christ Medical Group

  • Medical Specialty Clinic/Center
  • Oak Lawn, IL
  • NPI 1912936014
  NPD
• Advocate Health and Hospitals Corporation

  dba Advocate Children's Hospital

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• Journeycare, Inc.

  • Community Based Hospice Care Agency
  • Barrington, IL
  • NPI 1821049933
  NPD
• Advocate North Side Health Network

  dba Advocate Pharmacy #1510

  • Institutional Pharmacy
  • Chicago, IL
  • NPI 1114645470
  NPD (past)
• Advocate North Side Health Network

  dba Advocate Illinois Masonic Physician Group

  • Clinic/Center
  • Chicago, IL
  • NPI 1780788323
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1225013998",
    "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": "601320001",
            "telephone_number": "847-676-0091",
            "fax_number": "773-248-2348"
        },
        {
            "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",
            "fax_number": "773-248-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "ANNIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036068169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068169",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Stroger,Jr Hospital
• John Venetos MD LTD
• John William Allen, Psy.D. P.C.
• Iasha John-Williams
• Anish John, M.D
• Annita John, MD
• Binal Kiran Maharaja John, M.D.
• Gloria G John, DDS
• James Daniel John, RDN, LDN
• Jessaly John

• 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 Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.