MEDICARE: ANNIE JOHN M.D.

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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	036068169	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225013998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIE JOHN M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 2248
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60132-0001
Country	:	US
Telephone Number	:	847-676-0091
Fax Number	:	773-248-2348

Provider Business Practice Location Address
First Line	:	3434 W PETERSON AVE
Second Line	:	1A
City	:	CHICAGO
State	:	IL
Zip	:	60659-3319
Country	:	US
Telephone Number	:	773-583-5803
Fax Number	:	773-248-2348

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	06/17/2014

Similar Medicare Providers

1114909363 — ANNIE JOHN, M.D.S.C.
Practice Location Address:

3434 W PETERSON AVE , 1A
CHICAGO, IL
60659-3319

Practice Phone: 773-583-5803
Practice Fax:

1295760783 — DR. JALAJAKSHI POTLURI MD, FACP
Practice Location Address:

3434 W PETERSON AVE
CHICAGO, IL
60659-3319

Practice Phone: 773-279-1800
Practice Fax: 773-463-3664

1922180330 — KEITH K NAM MD
Practice Location Address:

3434 W PETERSON AVE , SUITE 202
CHICAGO, IL
60659-3319

Practice Phone: 773-267-0781
Practice Fax: 773-267-0968

1013106830 — JAE KO DDS
Practice Location Address:

3434 W PETERSON AVE , SUITE 1D
CHICAGO, IL
60659-3319

Practice Phone: 872-208-7573
Practice Fax: 872-806-0113

1457526063 — KEY I. NAM, MD, SC.
Practice Location Address:

3434 W PETERSON AVE , SUITE 202
CHICAGO, IL
60659-3319

Practice Phone: 773-267-0781
Practice Fax:

1386021954 — KO DENTAL CARE P.C.
Practice Location Address:

3434 W PETERSON AVE , SUITE 1D
CHICAGO, IL
60659-3319

Practice Phone: 872-208-7573
Practice Fax: 872-806-0113

Directions to “ ANNIE JOHN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.