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JOHN JASON BOEHM MS CNS MMC NPI 1508154337


NPI Information

NPI: 1508154337
Provider Name: JOHN JASON BOEHM, MS, CNS, MMC
Classification: Nutritionist - 133N00000X
Entity Type: Individual
Address:
4364 N. KENMORE AVE
SUITE 1
CHICAGO, IL
ZIP 60613
Phone: (917) 292-1100
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John Jason Boehm, MS, CNS, MMC is a nutritionist in Chicago, IL. The provider is a specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. John Jason Boehm, MS, CNS, MMC NPI is 1508154337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4364 N. KENMORE AVE
SUITE 1
CHICAGO, IL
ZIP 60613-394
Phone: (917) 292-1100

The enumeration date for this NPI number is 7/13/2011 and was last updated on 7/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133N00000XNutritionistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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