Individual provider · Type 1 NPI

Jack C. Enter Jr., PA-C

Physician Assistant · Chicago, IL

NPI number 1366444184 Active

Practice location

4211 N Cicero Ave, Suite 100
Chicago, IL 60641-1651

Call (773) 794-1000 Map

Fax (773) 794-9986

Mailing address

10100 Forest Hills Rd
Machesney Park, IL 61115-8234

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-000925 (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 1366444184

Jack C. Enter Jr., PA-C's National Provider Identifier is 1366444184, issued on Aug 11, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 17, 2008.