IndividualActive
Alexandra Johnson, PA-C
NPI 1639801913 · Physician Assistant · Joliet, IL
Provider details
- NPI number
- 1639801913
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085.009897 (IL)
Practice location
1150 Essington Rd
Joliet, IL 60435-8447
Phone: (888) 938-3838
Fax: (888) 919-1083
Mailing address
10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Registry dates
- Enumerated
- 2022-06-27
- Last updated
- 2025-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.