Individual provider · Type 1 NPI

Vendela Johnson, PA-C

Physician Assistant · Park Ridge, IL

NPI number 1609625854 Active

Practice location

1875 Dempster St Ste 265
Park Ridge, IL 60068-1126

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 3400 W Stonegate Blvd Apt 708, Arlington Heights, IL 60005-1066 · (954) 716-0369

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-010586 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant 363AS0400X085-010586 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

5 other providers at this address

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About NPI 1609625854

Vendela Johnson, PA-C's National Provider Identifier is 1609625854, issued on May 17, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Park Ridge, IL. The record was last updated on Feb 28, 2025.