Individual
BRANDON JAMES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
(312) 503-1851
Mailing address
1000 CENTRAL ST STE 880, EVANSTON, IL 60201-1780
(847) 570-2570
(847) 570-2073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009350
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/05/2020
Last updated
01/23/2023
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