Individual
GLENNON LEE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1325 N HIGHLAND AVE, AURORA, IL 60506-1449
(630) 875-2222
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004497
IL
Other
Enumeration date
01/07/2013
Last updated
12/02/2025
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