Healthcare Provider Details

I. General information

NPI: 1497381412
Provider Name (Legal Business Name): JOHN J CARNEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 N MICHIGAN AVE STE 700
CHICAGO IL
60611-6662
US

IV. Provider business mailing address

737 N MICHIGAN AVE STE 700
CHICAGO IL
60611-6662
US

V. Phone/Fax

Practice location:
  • Phone: 312-337-6960
  • Fax: 312-337-3601
Mailing address:
  • Phone: 312-337-6960
  • Fax: 312-337-3601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2025-00617
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number036179279
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number94110
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: