Shannon Johnson, PA
NPI #1811675317 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1811675317
- Entity Type
- Individual
- Name
- Shannon Johnson, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jul 6, 2023
- Last Updated
- Apr 25, 2025
Practice Location
- Address
- 430 PENNSYLVANIA AVE STE 240
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-4464
- Phone
- (630) 790-1872
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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