Individual provider · Type 1 NPI

Shannon Johnson, PA

Physician Assistant · Glen Ellyn, IL

NPI number 1811675317 Active

Practice location

430 Pennsylvania Ave Ste 240
Glen Ellyn, IL 60137-4464

Call (630) 790-1872 Map

Fax (630) 545-7850

Mailing address

Pob 7132960
Chicago, IL 60677-0001

Other practice locations

  • 10900 Euclid Ave, Cleveland, OH 44106-1712 · (216) 368-0575

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-010958 (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…

16 other providers at this address

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About NPI 1811675317

Shannon Johnson, PA's National Provider Identifier is 1811675317, issued on Jul 6, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glen Ellyn, IL. The record was last updated on Apr 25, 2025.