ANNIE JOHN, M.D.S.C. – NPI #1114909363
Internal 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.

ANNIE JOHN, M.D.S.C. is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1114909363 to ANNIE JOHN, M.D.S.C. on November 15, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 17 years ago on Sep 14, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANNIE JOHN, M.D.S.C. below.

NPI Profile for
ANNIE JOHN, M.D.S.C.

NPI Number
1114909363
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANNIE JOHN, M.D.S.C.
Primary location
3434 W PETERSON AVE
1A
CHICAGO, IL 60659-3319
Phone: (773) 583-5803 Fax:
Mailing address
P. O. BOX 2248
CAROL STREAM, IL 60132-2248
Phone: (847) 676-0091 Fax: (847) 676-2374
Organization Subpart
No
Authorized Official
ANNIE JOHN
PRESIDENT
Phone: (773) 989-3977
Updated
Identifiers

Identifiers for ANNIE JOHN, M.D.S.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036068169
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
IL 036-068169
164W00000X
- Licensed Practical Nurse
IL 209-003580

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.