Look up the most recent NPI and PECOS records

John George Annes

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JOHN ANNES.

Based on the most recent information from CMS, provider John George Annes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1275794158
Provider Type
Individual
Full Name
Annes, John George
Title
Dr.
Credential
MD, MSPT, OCS

Gender
Male
Sole Proprietor
No
Enumeration Date
6/23/2008
Last Updated
6/1/2022

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Mailing Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 036132300 Illinois
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License BF4649604-A722 Illinois
Code 2085R0204X	Description Radiology Allopathic & Osteopathic Physicians	License BF4649604-A722 Illinois
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License BF4649604-A722 Illinois
Code 225100000X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 070-011581 Illinois

John George Annes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

Description

License

Code

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License

Code

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Code

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License

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