Provider Demographics
NPI:1104840123
Name:CASE, JOHN PIERRE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PIERRE
Last Name:CASE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1901 W HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3714
Mailing Address - Country:US
Mailing Address - Phone:312-864-7268
Mailing Address - Fax:312-864-9494
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-7268
Practice Address - Fax:312-864-9494
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-073570207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE95670Medicare UPIN