IndividualActive
Ammon Johnson
NPI 1306201868 · Parenteral & Enteral Nutrition Supplies (DME) · Chicago, IL
Provider details
- NPI number
- 1306201868
- Entity type
- Individual
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
6831 S Dante Ave
Chicago, IL 60637-4830
Registry dates
- Enumerated
- 2015-12-28
- Last updated
- 2015-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.