| Organization Name: | ANNIE JOHN, M.D.S.C. |
| NPI Number: | 1114909363 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNIE JOHN (PRESIDENT) |
| Mailing Address: | 3434 W Peterson Ave 1a Chicago |
| State: | IL US |
| Postal Code: | 606593319 |
| Phone Number: | 7735835803 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2005 |
| NPI Last Update Date: | 09/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 164W00000X |
| License Number: | 209-003580 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Licensed Practical Nurse |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |