MEDICARE: DR. JOHN OH 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	207R00000X	Internal Medicine Physician	036064092	IL

General Provider Information

NPI Number	:	1992730725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN OH M.D.

Provider Business Mailing Address
First Line	:	150 W HALF DAY RD STE 206
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-6591
Country	:	US
Telephone Number	:	847-375-8282
Fax Number	:	847-375-8310

Provider Business Practice Location Address
First Line	:	241 GOLF MILL CTR
Second Line	:	SUITE 416
City	:	NILES
State	:	IL
Zip	:	60714-1224
Country	:	US
Telephone Number	:	847-375-8282
Fax Number	:	847-375-8310

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/16/2023

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Directions to “ DR. JOHN OH M.D.” Practice Location

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