Individual provider · Type 1 NPI

Jacob Tyler Pike, PA-C

Physician Assistant · Evanston, IL

NPI number 1063109627 Active

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Other practice locations

  • 29681 N Waukegan Rd Apt 204, Lake Bluff, IL 60044-5482 · (847) 525-7451

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X085009824 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063109627

Jacob Tyler Pike, PA-C's National Provider Identifier is 1063109627, issued on Apr 24, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Evanston, IL. The record was last updated on Aug 29, 2023.