HERITAGE MEDICAL
NPI 1225231707
Pediatrics in Chicago, IL

Active since June 11, 2007CLIA 14D0704328 · Waiver
10237 S WESTERN AVE, CHICAGO, IL 60643(773) 238-1616(773) 238-2660 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Heritage Medical NPPES

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

HERITAGE MEDICAL (NPI 1225231707) is a healthcare organization registered as a pediatrics in Chicago, Illinois and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Annita John, Physician, as its authorized official.

NPPES Registry Identity

NPI1225231707
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameANNITA JOHN M.D. P.C.
Location Address10237 S WESTERN AVEChicago, IL 60643-1917
Mailing Address10237 S Western AveChicago, IL 60643-1917 · (773) 238-1616 · Fax (773) 238-2660
Fax(773) 238-2660
Organization SubpartNo
Authorized OfficialAnnita JohnPhysician · (773) 238-1616
Enumeration DateJune 11, 2007
Last NPPES UpdateMay 5, 2010
NPI 1225231707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10237 S WESTERN AVE, Chicago, IL 60643

Other Names 1

Doing Business AsHeritage Medical

Other Identifiers 2

Other0161873463IL · Bcbs
Medicare ID-Type Unspecified335570IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0704328

Annita John MD PC · Chicago, IL
Active · expires Jan 5, 2027
CLIA Number14D0704328
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorAnnita John
Laboratory Phone(312) 239-5700
Laboratory LocationAnnita John MD PC10237 S Western Ave, Chicago, IL 60643
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pediatrics
10237 S WESTERN AVE
CHICAGO, IL 60643

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 Annita John M.D. P.C.'s NPI number?

The NPI number for Annita John M.D. P.C. is 1225231707. It was assigned to this organization in the NPPES registry on June 11, 2007. The provider is doing business as Heritage Medical.

Where is Annita John M.D. P.C. located?

Annita John M.D. P.C. is located at 10237 S Western Ave, Chicago, IL 60643. The listed phone number is (773) 238-1616.

What is Annita John M.D. P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Annita John M.D. P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0704328) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Annita John M.D. P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Annita John M.D. P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annita John M.D. P.C. was last updated on May 5, 2010. 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.