Individual ProviderJohn DillonInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address550 S Jackson St Fl 3, Louisville, KY 40202-1622(502) 852-5666PECOS EnrollmentBased on the most recent information from CMS, provider John Dillon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1154063220Provider TypeIndividualFull NameDillon, JohnGenderMaleSole ProprietorNoEnumeration Date4/10/2022Last Updated4/19/2024Contact InformationPractice LocationPractice Address550 S Jackson St Fl 3, Louisville, KY 40202-1622Phone(502) 852-5666FaxUnlisted FaxMailing LocationMailing Address550 S Jackson St Fl Street3, Louisville, KY 40202-1622Phone(502) 852-5666FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0KentuckyCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer