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ANNIE JOHN, M.D.S.C.
NPI 1114909363
Internal Medicine - Geriatric Medicine in Chicago, IL

Active since November 15, 2005
3434 W PETERSON AVE, 1A, CHICAGO, IL 60659(773) 583-5803 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annie John, M.d.s.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNIE JOHN, M.D.S.C. (NPI 1114909363) is a healthcare organization registered as a geriatric medicine in Chicago, Illinois and active in the NPI registry since November 2005. The organization lists Annie John, President, as its authorized official.

NPPES Registry Identity

NPI1114909363
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameANNIE JOHN, M.D.S.C.
Location Address3434 W PETERSON AVE, 1AChicago, IL 60659-3319
Mailing AddressP. O. Box 2248Carol Stream, IL 60132-2248 · (847) 676-0091 · Fax (847) 676-2374
Phone(773) 583-5803
Organization SubpartNo
Authorized OfficialAnnie JohnPresident · (773) 989-3977
Enumeration DateNovember 15, 2005
Last NPPES UpdateSeptember 14, 2009
✔ NPI 1114909363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in IL · 036-068169
Definition
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.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 209-003580 (IL)
3434 W PETERSON AVE, Chicago, IL 60659
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Other Identifiers 2

Medicare ID-Type Unspecified208848IL
Medicaid036068169IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAE KO DDS
Dentist (General Practice)
3434 W PETERSON AVE, SUITE 1D
CHICAGO, IL 60659
Cook County (872) 208-7573
ANNIE JOHN M.D.
Internal Medicine (Geriatric Medicine)
3434 W PETERSON AVE, 1A
CHICAGO, IL 60659
Cook County (773) 583-5803
DR. JALAJAKSHI POTLURI MD, FACP
Internal Medicine (Hematology & Oncology)
3434 W PETERSON AVE
CHICAGO, IL 60659
Cook County (773) 279-1800
TONG SU KIM MD
Pediatrics
3434 W PETERSON AVE, 1C
CHICAGO, IL 60659
Cook County (773) 267-8060
KO DENTAL CARE P.C.
Dentist (General Practice)
3434 W PETERSON AVE, SUITE 1D
CHICAGO, IL 60659
Cook County (872) 208-7573
KEY I. NAM, MD, SC.
Specialist/Technologist
3434 W PETERSON AVE, SUITE 202
CHICAGO, IL 60659
Cook County (773) 267-0781
SHELDON D SCHWARTZ MD SC
Internal Medicine
3434 W PETERSON AVE, SUITE #1A
CHICAGO, IL 60659
Cook County (773) 463-3300
KEITH K NAM MD
Internal Medicine (Pulmonary Disease)
3434 W PETERSON AVE, SUITE 202
CHICAGO, IL 60659
Cook County (773) 267-0781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annie John, M.D.S.C.'s NPI number?

The NPI number for Annie John, M.D.S.C. is 1114909363. It was assigned to this organization in the NPPES registry on November 15, 2005.

Where is Annie John, M.D.S.C. located?

Annie John, M.D.S.C. is located at 3434 W Peterson Ave 1A, Chicago, IL 60659. The listed phone number is (773) 583-5803.

What is Annie John, M.D.S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Annie John, M.D.S.C. was last updated on September 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.