AMMON JOHNSON

CHICAGO, IL
NPI1306201868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition
Enumeration Date2015-12-28
Last Update Date2015-12-28
Business Address
AMMON JOHNSON
6831 S DANTE AVE
CHICAGO, IL 60637-4830
Phone number: 312-320-9475
Mailing Address
AMMON JOHNSON
6831 S DANTE AVE
CHICAGO, IL 60637-4830
Phone number:
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