Juan Noguera, RSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

238000836 Issued in IL

Practice address

19015 S Jodi Rd
Mokena, IL 60448-8514

Phone

(708) 995-5418

NPI assigned

Aug 14, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lincoln Way Surgical Assistants Inc

  • Specialist
  • Mokena, IL
  • NPI 1891323200
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1063398071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19015 S JODI RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488514",
            "telephone_number": "708-995-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19015 S JODI RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488514",
            "telephone_number": "708-995-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGUERA",
        "first_name": "JUAN",
        "credential": "RSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238000836",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238000836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nash, LCSW
• Carlos Alberto Natera Garcia, SA-C
• New Normal Psychiatry & Wellness PLLC
• Adrian Nica, M.D.
• Glen John Nisivoccia, D C
• Thomas R Norberg, D.C.
• Northern Light Counseling & Consultation LLC
• Northwestern Medical Faculty Foundation
• Philomena Bridget Nowak, MS LCPC CRC
• Bridget Ann O'Connor

• Surgical Physician Assistant in Mokena, IL
• Providers in Mokena, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.