Search › Illinois › 363A00000X
Brandon Johnson, PA-C
NPI 1649894676 · on the registry since 2020 · sole proprietor
Practice
- Address
- 240 E Huron St Ste 1-200
Chicago, IL 60611 - Phone
- (312) 503-1851
- Organisation at this address
- Mcgaw Medical Center Of Northwestern University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 1,108
Additional practice sites
- 1000 Central St Ste 880, Evanston, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois