Search › Illinois › Parenteral & Enteral Nutrition Supplies (DME)
Ammon Johnson
NPI 1306201868 · on the registry since 2015 · sole proprietor
Practice
- Address
- 6831 S Dante Ave
Chicago, IL 60637 - Phone
- (312) 320-9475
Registry record
- Primary taxonomy
- Parenteral & Enteral Nutrition Supplies (DME)
332BP3500X
- Sex
- Male
- Record last updated
- 2015-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois