Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Louis Ancona, PA

Individual provider Physician Assistant · NPI 1003891649

John Louis Ancona, PA is a Physician Assistant in Oak Lawn, Illinois. Qualified in 1993, 33 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
33
Licensed in
IL
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4400 W 95th St Ste 205
Oak Lawn, IL 60453-2654
Phone: (630) 977-9764
Fax: (708) 346-3287
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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 085000886 (IL)

Record details

NPI number1003891649
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESAugust 19, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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