Dr. John George Annes, MD, MSPT, OCS
Radiology, Diagnostic Radiology in Maywood, IL. Individual provider (NPI-1).
NPI number1275794158
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1275794158
- Entity type
- Individual (NPI-1)
- Name
- Dr. John George Annes
- Credential
- MD, MSPT, OCS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2008
- Certification date
- Jun 1, 2022
- Last updated
- Jun 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 036132300 | IL | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | BF4649604-A722 | IL | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | BF4649604-A722 | IL | |
| 208600000X | Surgery | BF4649604-A722 | IL | |
| 225100000X | Physical Therapist | 070-011581 | IL |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
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