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NPI Code Detail

MEDICARE: JOHN M ANDREONI MD

MEDICARE: JOHN M ANDREONI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121622441OTHERILBCBS PROVIDER ID
214605OTHERILADVOCATE HLTH PARTNERS

General Provider Information

NPI Number : 1225024508
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN M ANDREONI MD
Provider Business Mailing Address
First Line : 777 OAKMONT LN
Second Line : SUITE 1600
City : WESTMONT
State : IL
Zip : 60559-5511
Country : US
Telephone Number : 630-789-2550
Fax Number :
Provider Business Practice Location Address
First Line : 7804 W COLLEGE DR
Second Line : SUITE 1NW
City : PALOS HEIGHTS
State : IL
Zip : 60463-1025
Country : US
Telephone Number : 708-361-5778
Fax Number : 708-361-5631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 01/18/2008

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