person
Ammon Johnson
Parenteral & Enteral Nutrition Supplies (DME) in Chicago, Illinois
NPI 1306201868

Ammon Johnson is a Parenteral & Enteral Nutrition Supplies (DME) based in Chicago, IL and is specialized in Parenteral & Enteral Nutrition. Ammon Johnson practices in Chicago, IL. The NPI Number for Ammon Johnson is 1306201868 and holds a License No. (Illinois).

The current practice location address for Ammon Johnson is 6831 S Dante Ave, Chicago, IL and can be reached out via phone at 312-320-9475. You can also correspond with Ammon Johnson through the mailing address at 6831 S DANTE AVE, CHICAGO, IL - 60637-4830 (mailing address contact number: ).

Location: 6831 S Dante Ave, Chicago, IL, 60637-4830
person
Provider Profile Details
NPI Number
1306201868
Provider Name
Ammon Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
6831 S Dante Ave, Chicago, IL, 60637-4830
Phone Number
312-320-9475
Fax Number
Provider Enumeration Date
12/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6831 S Dante Ave
City
State
Zip
60637-4830
Phone Number
312-320-9475
Fax Number
person
Provider Business Mailing Address Details
Address
6831 S Dante Ave
City
State
Zip
60637-4830
Phone Number
312-320-9475
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
()
Definition
Definition to come...
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