Individual
RACHAEL VIRGINIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
811 S PAULINA ST, CHICAGO, IL 60612-4353
(312) 996-7745
Mailing address
1935 N FAIRFIELD AVE APT 310F, CHICAGO, IL 60647-7127
(347) 432-0788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006452
IL
363AS0400X
Surgical Physician Assistant
085006452
IL
Other
Enumeration date
11/09/2017
Last updated
03/06/2025
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