Joshua Allen Johansen, PA-C
Physician Assistant in North Chicago, IL. Individual provider (NPI-1).
NPI number1982147930
StatusActive
Last updated in NPPESOct 8, 2025
Details
- NPI
- 1982147930
- Entity type
- Individual (NPI-1)
- Name
- Joshua Allen Johansen
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2016
- Certification date
- Oct 8, 2025
- Last updated
- Oct 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085.006596 | IL | Yes |
Practice location
3001 Green Bay RdNorth Chicago, IL 60064-3048
Phone 224-610-3886
Mailing address
3001 Green Bay RdNorth Chicago, IL 60064-3048
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