Individual provider · Type 1 NPI

Juan Noguera, RSA

Surgical Physician Assistant · Mokena, IL

NPI number 1063398071 Active

Practice location

19015 S Jodi Rd
Mokena, IL 60448-8514

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X238000836 (IL)
Surgical Physician Assistant Primary 363AS0400X238000836 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1063398071

Juan Noguera, RSA's National Provider Identifier is 1063398071, issued on Aug 14, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mokena, IL. The record was last updated on Aug 14, 2025.