IndividualActive
John Boehm, MS, CNS, MMC
NPI 1508154337 · Nutritionist · Chicago, IL
John Boehm, MS, CNS, MMC is a Nutritionist provider in Chicago, IL (NPI 1508154337).
Provider details
- NPI number
- 1508154337
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- MS, CNS, MMC
- Sex
- Male
- Sole proprietor
- Yes
Practice location
4364 N. Kenmore Ave
Suite 1
Chicago, IL 60613-1394
Phone: (917) 292-1100
Street-level locationGet directions
Mailing address
4364 N. Kenmore Ave
Chicago, IL 60613-1394
Registry dates
- Enumerated
- 2011-07-13
- Last updated
- 2011-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.