Individual provider Active NPI

John Henry Hotchkiss IV, MD

  • Diagnostic Radiology Physician
  • Fort Kent, ME
National Provider Identifier
1720259476
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A134271 Issued in CA
Practice address
28 Market St Ste 201
Fort Kent, ME 04743-1417
Phone
(253) 209-7064
NPI assigned
Mar 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A134271 CA Primary
Diagnostic Radiology Physician 2085R0202X 036-155046 IL

Addresses

Primary practice location

28 Market St Ste 201
Fort Kent, ME 04743-1417

Mailing address

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1550

Other practice location 1

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000

Other practice location 2

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Other practice location 3

2801 Atlantic Ave
Long Beach, CA 90806
Phone (562) 933-1550

Other practice location 4

4301 W Markham St # 556
Little Rock, AR 72205-7101
Phone (501) 296-1095

Other practice location 5

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 6

310 Salem Woodstown Rd
Salem, NJ 08079-2064
Phone (856) 935-1000

Electronic endpoints 4

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation
Direct Messaging Address jhotchkiss308905@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, ME, CA, NJ, CO, IL, HI, AR, TX, AZ10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20170712000513 NE Practitioner - Diagnostic Radiology 3678880416 Reassigns benefits to 2 organizations
I20171215002150 ME Practitioner - Diagnostic Radiology 3678880416 Reassigns benefits to 2 organizations
I20200227000615 CA Practitioner - Diagnostic Radiology 3678880416 Reassigns benefits to 16 organizations
I20200819002954 NJ Practitioner - Diagnostic Radiology 3678880416 Reassigns benefits to 4 organizations
I20201218000686 CO Practitioner - Diagnostic Radiology 3678880416 Reassigns benefits to 22 organizations
I20210913001108 IL Practitioner - Diagnostic Radiology 3678880416 Reassigns benefits to 2 organizations
I20230206001822 HI Practitioner - Diagnostic Radiology 3678880416 Reassigns benefits to 1 organization
I20230206002194 AR Practitioner - Diagnostic Radiology 3678880416 Reassigns benefits to 4 organizations
I20240910000120 TX Practitioner - Diagnostic Radiology 3678880416 Reassigns benefits to 1 organization
I20260401003144 AZ Practitioner - Diagnostic Radiology 3678880416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians
Adventist Health Medical Center TehachapiGroup PAC ID 1456646629, 56 clinicians
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians
Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians
County of MontereyGroup PAC ID 2466345632, 186 clinicians
Fullerton Radiology Medical Group IncGroup PAC ID 4587632575, 55 clinicians
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians
Radx Imaging Partners IncGroup PAC ID 5698113041, 46 clinicians
Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians
Santa Cruz Radiology L L CGroup PAC ID 7012996952, 46 clinicians
Universal Radiology Partners of California PCGroup PAC ID 7214372986, 67 clinicians
Oklahoma Radiology Group P CGroup PAC ID 9032101688, 59 clinicians
NRHS Radiology AssociatesGroup PAC ID 2668555731, 61 clinicians
Insight Chicago IncGroup PAC ID 2860894706, 140 clinicians
San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians
Rockford Radiology AssocGroup PAC ID 1254330749, 43 clinicians
Modesto Radiological Medical Group IncGroup PAC ID 2062300239, 95 clinicians
Los Alamitos Radiology Group IncGroup PAC ID 5092718882, 69 clinicians
X-Ray Associates of Port Huron P CGroup PAC ID 5395789531, 28 clinicians
Prime Radiology Consultants P.C.Group PAC ID 7416485040, 52 clinicians
Central Valley Imaging Medical Associates IncGroup PAC ID 8628064953, 87 clinicians
X-Ray Associates of Louisville PSCGroup PAC ID 9436146818, 55 clinicians
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians
Contemporary Diagnostic Imaging LLCGroup PAC ID 1850510470, 40 clinicians
Lodi Memorial Hospital Association IncGroup PAC ID 7618880717, 73 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

1 Childrens Way
Suite 653
Little Rock, AR 72202-3571
Phone (501) 364-1100

1100 Magellan Dr
Tehachapi, CA 93561-1380
Phone (661) 823-3000

11001 Executive Ctr Dr
Suite 200 C
Little Rock, AR 72211-4348
Phone (501) 812-7587

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

1270 Natividad Rd
Salinas, CA 93906-3144

1270 Natividad Rd
146.38
Salinas, CA 93906-3198

1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone (909) 599-6811

1441 Constitution Blvd
Salinas, CA 93906-3100

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

155 Bridgeton Pike
Suite C
Mullica Hill, NJ 08062-2639
Phone (856) 994-0005

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6010

229 S Logan St
Apt 1
Denver, CO 80209-1856
Phone (909) 599-6811

2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (708) 382-1498

2615 Chester Ave
Bakersfield, CA 93301-2014

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

4770 Vine St
Denver, CO 80216-2227
Phone (956) 362-7553

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

55 Meadowlands Pkwy
Suite 200
Secaucus, NJ 07094-2977
Phone (201) 392-3100

5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-2171

9350 N Loop Blvd
California City, CA 93505-2269
Phone (760) 373-1785

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

  • University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016
  • Washington Hospital Hospital, Fremont, CA, CCN 050195
  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A134271CAMDDiagnostic Radiology Physician

Practice roles (60 of 70)

OrganizationSpecialtyStatusNew patients
X-Ray Associates of Louisville PSC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Monterey Behavioral Health CurrentSince Oct 6, 2022 Accepting new patients
Fullerton Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Northern Maine Medical Center CurrentSince Nov 14, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Contemporary Diagnostic Imaging, LLC CurrentSince May 16, 2020 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Current Accepting new patients
San Joaquin Community Hospital CurrentSince Jun 1, 2022 Accepting new patients
Oklahoma Radiology Group P C Diagnostic Radiology CurrentSince Feb 4, 2024 Accepting new patients
Menalam Health Services PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Los Alamitos Radiology Group Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Delta Radiology, Inc. CurrentSince Apr 1, 2025 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Dec 11, 2017 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Dec 25, 2023 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 1, 2025 Accepting new patients
Insight Chicago, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jun 1, 2022 Accepting new patients
County of Los Angeles CurrentSince Nov 15, 2019 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Apr 15, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 1, 2023 Accepting new patients
Washington Radiologists Medical Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Prime Radiology Consultants P.C. Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Renaissance Medical Foundation Family Medicine CurrentSince Aug 24, 2024 Accepting new patients
County of San Joaquin CurrentSince Feb 16, 2021 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Mar 1, 2024 Accepting new patients
Insight Chicago, Inc. Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jan 1, 2025 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Jun 1, 2025 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jan 4, 2023 Accepting new patients
Santa Cruz Radiology L L C Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Northern Maine Medical Center CurrentSince Nov 14, 2017 Accepting new patients
X-Ray Associates of Port Huron P C Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Arkansas Health Group Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
County of San Joaquin CurrentSince Feb 16, 2021 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Radiology Consultants of Little Rock, PA Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Arkansas Health Group CurrentSince Dec 1, 2024 Accepting new patients
NRHS Radiology Associates Diagnostic Radiology CurrentSince Dec 8, 2022 Accepting new patients
Radx Imaging Partners Inc Diagnostic Radiology CurrentSince Apr 23, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Mar 1, 2024 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Feb 16, 2021 Accepting new patients
Rockford Radiology Assoc Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Turlock Imaging Services, LLC CurrentSince Jul 9, 2021 Accepting new patients
Adventist Health Medical Center Tehachapi General Practice CurrentSince Jun 1, 2022 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
X-Ray Medical Group Inc Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
San Joaquin Community Hospital CurrentSince Jun 1, 2022 Accepting new patients
Capital Health Multispecialty Group Diagnostic Radiology CurrentSince Sep 9, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
County of Monterey CurrentSince Oct 6, 2022 Accepting new patients
County of Los Angeles CurrentSince Nov 15, 2019 Accepting new patients
County of Santa Clara Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
University of Arkansas for Medical Sciences General Practice CurrentSince Mar 1, 2023 Accepting new patients

Locations (25 of 56)

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Ste 653
Little Rock, AR 72202

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

4301 W Markham St
#556
Little Rock, AR 72205
Phone (501) 296-1095

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

2301 Bahamas Dr
Bakersfield, CA 93309

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1031 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-7422

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jhotchkiss151487@direct.whhs.com
  • Direct secure messaging: jhotchkiss308905@direct.myadvocateaurora.org
  • Direct secure messaging: jhotchkiss81126@scrippshlth.medalliesdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
  • Direct secure messaging: jhotchkiss@yourcarecommunity.org
  • Direct secure messaging: jhotchkiss1132526@direct.hfhs.org

Organizations & group practices 79

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

View all 79

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1720259476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-1550",
            "fax_number": "562-933-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MARKET ST STE 201",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431417",
            "telephone_number": "253-209-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532600",
            "country_code": "US",
            "telephone_number": "708-684-8000",
            "fax_number": "708-520-1039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90806",
            "country_code": "US",
            "telephone_number": "562-933-1550",
            "fax_number": "562-933-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 556",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-296-1095",
            "fax_number": "501-526-5919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-935-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOTCHKISS",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A134271",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-155046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhotchkiss308905@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4440 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Kent, ME

Sources for this page

Verify at the official NPI Registry.