Provider Demographics
NPI:1164572319
Name:GNAP, JOHN J (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:GNAP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10436 SOUTHWEST HIGHWAY
Mailing Address - Street 2:LOWER LEVEL SUITE 4
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415
Mailing Address - Country:US
Mailing Address - Phone:708-424-2266
Mailing Address - Fax:708-424-9763
Practice Address - Street 1:10436 SOUTHWEST HIGHWAY
Practice Address - Street 2:LOWER LEVEL SUITE 4
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415
Practice Address - Country:US
Practice Address - Phone:708-424-2266
Practice Address - Fax:708-424-9763
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036040753101YM0800X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02201177OtherBCBS
IL02201177OtherBCBS
C38226Medicare UPIN