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NPI 1306201868

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

Practice location

6831 S Dante Ave

Chicago, IL 60637-4830

Phone: (312) 320-9475

More IL providers

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.

Ammon Johnson — NPI 1306201868, Chicago, IL | NPI Central