Individual ProviderMinnu JohnyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9249 Aspen Dr, Des Plaines, IL 60016-4201(224) 789-6607PECOS EnrollmentBased on the most recent information from CMS, provider Minnu Johny is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902615065Provider TypeIndividualFull NameJohny, MinnuGenderFemaleSole ProprietorNoEnumeration Date1/3/2025Last Updated1/3/2025Contact InformationPractice LocationPractice Address9249 Aspen Dr, Des Plaines, IL 60016-4201Phone(224) 789-6607FaxUnlisted FaxMailing LocationMailing Address9249 Aspen Dr, Des Plaines, IL 60016-4201Phone(224) 789-6607FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209.030451Illinois