BEN JOHNSON

CHICAGO, IL
NPI1174984488
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164006426)
Enumeration Date2016-03-14
Last Update Date2016-03-14
Business Address
-- BEN JOHNSON RD
2003 W FULTON ST
CHICAGO, IL 60612-2345
Phone number: 312-850-3438
Mailing Address
-- BEN JOHNSON RD
2003 W FULTON ST
CHICAGO, IL 60612-2345
Phone number:
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