ANNIE JOHN, M.D.S.C. (NPI# 1114909363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114909363 |
| Entity Type | Organization |
| Organization Name | ANNIE JOHN, M.D.S.C. |
| Practice Address |
3434 W Peterson Ave 1a Chicago IL 60659-3319 |
| Mailing Address |
P. O. Box 2248 Carol Stream IL 60132-2248 |
| Practice Telephone | 7735835803 |
| Mailing Telephone | 8476760091 |
| Mailing Fax Number | 8476762374 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | DR. ANNIE JOHN (PRESIDENT) |
| Authorized Official Telephone | 7739893977 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 209-003580 | IL | Nursing Service Providers |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036-068169 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036068169 | 05 |
| Street Address |
3434 W PETERSON AVE 1A |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386021954 | Ko Dental Care P.C. | Dentist | 3434 W Peterson Ave, Suite 1d, Chicago, IL 60659-3319 | 2015-05-02 |
| 1457526063 | Key I. Nam, Md, Sc. | Specialist/Technologist | 3434 W Peterson Ave, Suite 202, Chicago, IL 60659-3319 | 2008-04-24 |
| 1992979058 | Hugo H Muriel Mdsc | Internal Medicine | 3434 W Peterson Ave, Chicago, IL 60659 | 2008-04-18 |
| 1558534826 | Sheldon D Schwartz Md Sc | Internal Medicine | 3434 W Peterson Ave, Suite #1a, Chicago, IL 60659-3300 | 2008-04-08 |
| 1013106830 | Jae Ko | Dentist | 3434 W Peterson Ave, Suite 1d, Chicago, IL 60659-3319 | 2007-10-17 |
| 1922180330 | Keith K Nam | Internal Medicine | 3434 W Peterson Ave, Suite 202, Chicago, IL 60659-3319 | 2006-10-19 |
| 1306866124 | Tong Su Kim | Pediatrics | 3434 W Peterson Ave, 1c, Chicago, IL 60659 | 2006-07-21 |
| 1295760783 | Jalajakshi Potluri | Internal Medicine | 3434 W Peterson Ave, Chicago, IL 60659-3319 | 2006-07-12 |
| 1225013998 | Annie John | Internal Medicine | 3434 W Peterson Ave, 1a, Chicago, IL 60659-3319 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058378 | Ranim Mira | Internal Medicine | 4021 W Belle Plaine Ave # Ge, Chicago, IL 60641-2412 | 2018-03-24 |
| 1518351758 | Vania Leung | Internal Medicine | 2600 S Michigan Ave Ste 205, Chicago, IL 60616-2857 | 2015-03-25 |
| 1699174540 | Hatem Hassaballa | Internal Medicine | 840 S Wood St Fl 4, Suite 409 (m/c 717), Chicago, IL 60612-4325 | 2014-08-16 |
| 1609037498 | Katya Yanira Cruz Madrid | Internal Medicine | 840 S. Wood St, Mic 717 Suite 409, Chicago, IL 60612 | 2008-06-24 |
| 1114113271 | Ewa Nowak | Internal Medicine | 3319 N Elston Ave # 200, Chicago, IL 60618-5811 | 2007-09-21 |
| 1275735706 | Geraldine Luna | Internal Medicine | 2231 E 95th St, Chicago, IL 60617-4804 | 2007-06-05 |
| 1487864542 | Kyra Payne | Internal Medicine | 213 N Racine, #100, Chicago, IL 60607 | 2007-05-23 |
| 1669699716 | Alejandro Aparicio | Internal Medicine | 6512 W Belle Plaine Ave, Chicago, IL 60634-1434 | 2007-04-19 |
| 1154459840 | Patricia Anne Rush | Internal Medicine | 7101 S Exchange Ave, Chicago, IL 60649-2503 | 2007-03-02 |
| 1447313705 | Shellie N Williams | Internal Medicine | The University of Chicago, 5841 S. Maryland Ave. Mc 6098, Chicago, IL 60637 | 2006-12-18 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.