MRS. ANNAMMA JOHN MATHEW PMHNP NPI 1629395868

NPI Information

MRS. Annamma John Mathew, PMHNP is a psychiatric/mental health nurse practitioner in Chicago, IL. MRS. Annamma John Mathew, PMHNP NPI is 1629395868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1901 W HARRISON ST
JHS. HOSPITAL OF COOK COUNTY, DEPARTMENT OF PSYCHIATRY
CHICAGO, IL
ZIP 60612-714
Phone: (312) 864-8047
Fax: (312) 864-8014

The NPI 1629395868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/28/2010 and was last updated on 4/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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