Individual provider · Type 1 NPI

Matthew Allen Ptack, PA-C

Surgical Physician Assistant · Skokie, IL

NPI number 1356880470 Active

Practice location

9650 Gross Point Rd Ste 2900
Skokie, IL 60076

Call (847) 866-7846 Map

Fax (866) 954-5787

Mailing address

2650 Ridge Ave. Suite 1223
Skokie, IL 60076-1214

Other practice locations

  • 9600 Gross Point Rd, Skokie, IL 60076-1214 · (847) 677-9600

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085006139 (IL)
Surgical Physician Assistant Primary 363AS0400X085006139 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1356880470

Matthew Allen Ptack, PA-C's National Provider Identifier is 1356880470, issued on Feb 22, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Skokie, IL. The record was last updated on Feb 18, 2026.