Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glennon Lee Johnston, PA-C

Individual provider Physician Assistant · NPI 1871830141

Glennon Lee Johnston, PA-C is a Physician Assistant in Aurora, Illinois. Qualified in 2012, 14 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1325 N Highland Ave
Aurora, IL 60506-1449
Phone: (630) 875-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 W Lake St, Addison, IL 60101-2586 — (630) 527-3645

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004497 (IL)

Record details

NPI number1871830141
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 7, 2013
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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