Annie John, M.D.S.C. in Carol Stream - Licensed Practical Nurse

Annie John, M.D.S.C. - NPI 1114909363

Annie John, M.D.S.C. is a Licensed Practical Nurse in Carol Stream, Illinois. Annie John, M.D.S.C. practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Annie John, M.D.S.C. is 1114909363. The last update date is 2009-09-14.

Annie John, M.D.S.C.'s current location address is P. O. Box 2248, Carol Stream, Illinois. You can contact this provider via phone number 8476760091 and fax number 8476762374. The mailing address for Annie John, M.D.S.C. is P. O. Box 2248, Carol Stream, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Annie John, M.D.S.C.
Address P. O. Box 2248, Carol Stream, Illinois
Phone Number 8476760091
Fax Number 8476762374
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name John Annie
Credentials M.D.
Telephone Number 7739893977

NPI Number Detail

NPI Number 1114909363
Provider Enumeration Date 2005-11-15
Last Updated Date 2009-09-14

Provider Mailing Address Detail

Address P. O. Box 2248
City Carol Stream
State Illinois (IL)
Post Code 601322248
Phone Number 8476760091
Fax Number 8476762374

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 209-003580
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 r

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36068169 IL --

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FAQs about Annie John, M.D.S.C.

What is the unique identification code assigned to Annie John, M.D.S.C. by the Centers for Medicare & Medicaid Services?

The Annie John, M.D.S.C. has been issued the NPI (National Provider Identifier) 1114909363. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Annie John, M.D.S.C. is geographically located?

The Annie John, M.D.S.C. is physically situated at the following location: P. O. Box 2248, Carol Stream, IL, 601322248.

What is Annie John, M.D.S.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Annie John, M.D.S.C. is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.

On what date did the Annie John, M.D.S.C. receive its 1114909363 assignment from the Centers for Medicare & Medicaid Services?

The Annie John, M.D.S.C. was assigned its 1114909363 by the Centers for Medicare & Medicaid Services on 2005-11-15.

As of what date were the details related to Annie John, M.D.S.C. most recently updated or revised?

The information pertaining to Annie John, M.D.S.C., including its address, specialty, and other relevant details, was last updated or revised on 2009-09-14.

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