Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Jason Boehm, MS, CNS, MMC

Individual provider Nutritionist · NPI 1508154337

John Jason Boehm, MS, CNS, MMC is a Nutritionist in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

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Practice location Address checks out

4364 N Kenmore Ave Ste 1
Chicago, IL 60613-1394
Phone: (917) 292-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1508154337
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CNS , MMC
Sole proprietorYes
NPI enumeratedJuly 13, 2011
Last updated in NPPESJuly 13, 2011

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