Individual
BROOKE N JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 FOXFIELD RD STE 100, ST CHARLES, IL 60174-5799
(630) 377-6500
Mailing address
1104 NORTHWINDS DR, ST CHARLES, IL 60174-5041
(309) 781-8597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006560
IL
363A00000X
Physician Assistant
10004517A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/10/2016
Last updated
04/24/2026
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