| Glennon Lee Johnston, PA-C | |
|
1325 N Highland Ave, Aurora, IL 60506-1449 | |
| (630) 875-2222 | |
| Not Available |
| Full Name | Glennon Lee Johnston |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 1325 N Highland Ave, Aurora, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871830141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085004497 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Edward Hospital | Naperville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3330 |
| Entity Name | Edward Health Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| Entity Name | Edward Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Cepamerica Illinois LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Glennon Lee Johnston, PA-C 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Glennon Lee Johnston, PA-C 1325 N Highland Ave, Aurora, IL 60506-1449 Ph: (630) 875-2222 |
Wajahat Khan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1325 N Highland Ave, Aurora, IL 60506 Phone: 630-801-2633 |
Ellen Yehyawi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2088 Ogden Ave Ste 160, Aurora, IL 60504 Phone: 630-851-6440 Fax: 630-851-7001 |
Taggart Venegas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2111 Ogden Ave, Aurora, IL 60504 Phone: 630-978-3800 Fax: 630-852-3085 |
Amanda Lynn Roche, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 270 N Kingsway Dr, Aurora, IL 60506 Phone: 630-849-4670 |
Isabella Elaine Liu, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-264-8720 Fax: 630-264-8423 |
Juvia M Dorn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2111 Ogden Ave, Aurora, IL 60504 Phone: 630-978-3800 Fax: 630-862-3085 |
Leah Kristene Michelli, MMS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3965 75th St, Suite 103, Aurora, IL 60504 Phone: 630-375-1625 |