Annita John M.D. P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ANNITA JOHN M.D. P.C.

Doing business as

Heritage Medical

Practice address

10237 S Western Ave
Chicago, IL 60643-1917

Phone

(773) 238-1616

Fax

(773) 238-2660

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Annita John, M.D.

Title

Physician

Phone

(773) 238-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Medical Doing business as

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1225231707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10237 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431917",
            "telephone_number": "773-238-1616",
            "fax_number": "773-238-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10237 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431917",
            "telephone_number": "773-238-1616",
            "fax_number": "773-238-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNITA JOHN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ANNITA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-238-1616",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0161873463",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Annes, OT
• Joshua Annex
• Annie B. Jones Community Services, Inc (ABJ Community Services, Inc)
• Annie Felice, LCPC, PC
• Annie John, M.D.S.C.
• Ellyn Janine Annoreno, PTA
• Julie Ann Annulis, PT
• Margaret Ann Cathleen Annunziata
• Anointed Hands Healthcare
• Anointed Health Partners Limited

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.