Victoria Lyn Johnson, CST/CSFA
Individual provider Active NPI Surgical Assistant · Minooka, IL
NPI 1285229302 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1285229302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- Practice address
- 401 O Toole Dr
Minooka, IL 60447-9496 - Phone
- (708) 937-8337
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Yes |
Addresses
Primary practice location
401 O Toole Dr
Minooka, IL 60447-9496
Mailing address
401 O Toole Dr
Minooka, IL 60447-9496
Phone (708) 937-8337
Other names
- Victoria Lyn Carter
Other providers in Minooka, IL
- Katie Lynn Hughes
- Paul Humphries
- Jennifer Marie Jacobs
- Monica Lee Jasper
- Laura M. Jerzyk
- Jillian Jones
- Danielle Lorraine Jurgens
- Sally Patricia Kapela
- Linda Marie Kapple
- Joan Kelley
All providers in Minooka, IL · Surgical Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.