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

Individual provider Physician Assistant · NPI 1497410583

Patrick Ryan Johnson, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with University of Chicago, a 1,681-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
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

5841 S Maryland Ave # MC6065
Chicago, IL 60637-1443
Phone: (773) 702-9775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.008326 (IL)

Record details

NPI number1497410583
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address1415 N Wicker Park Ave Apt 3, Chicago, IL 60622-1930

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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