| John Oh MD SC | |
|
241 Golf Mill Ctr Suite 416 Niles IL 60714-1224 | |
| (847) 375-8282 | |
| Not Available |
| Full Name | John Oh MD SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 241 Golf Mill Ctr, Niles, Illinois |
| Authorized Official Name and Position | John Oh (PHYSICIAN) |
| Authorized Official Contact | 8473758282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Oh MD SC 241 Golf Mill Ctr Suite 416 Niles IL 60714-1224 | John Oh MD SC 241 Golf Mill Ctr Suite 416 Niles IL 60714-1224 Ph: (847) 375-8282 |
| NPI Number | 1407035199 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 02/28/2012 |
| Medicare PECOS PAC ID | 5496741696 |
|---|---|
| Medicare Enrollment ID | O20040422001338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407035199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | John J Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992730725 PECOS PAC ID: 9638165848 Enrollment ID: I20041008001351 |
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John Oh M.D.S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Golf Mill Ctr Ste 416, Niles, IL 60714 Phone: 847-375-8282 |