Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIOT PAUL JOHNSON, PA-C
ActiveELLIOT PAUL JOHNSON, PA-C is a Surgical Physician Assistant healthcare provider located in ST CHARLES, Illinois. NPI 1780093187 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ST CHARLES, IL
Registration Details
- NPI Number
- 1780093187
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2014 (12.051890346697 yrs)
- Last Updated
- Aug 11, 2014
- License
-
085005130 (IL)
Practice Information
- Address
-
2900 FOXFIELD RDSUITE 102ST CHARLES, IL, 601745799Browse IL providers · Browse ZIP 60174
- Phone
- 6303771188
- Fax
- 6303777360
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in ST CHARLES, IL
| Name | Credential | NPI |
|---|---|---|
| RACHEL ZAYAT | — | 1396243515 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.