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NPI · 1366444184 · NPPES-sourced

Jack Enter PA-C

ActivePhysician Assistant
NPI Number
1366444184
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(773) 794-1000
License IL · 085-000925
Last Updated
About 17 years ago (Oct 2008)
Enumerated 2005-08-11
Primary practice addressIL · 60641-1651
4211 N Cicero Ave, Suite 100Chicago, IL 60641-1651
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About this NPIWhat this record shows.

NPI 1366444184 is registered to Jack Enter PA-C, a Physician Assistant practising at 4211 N Cicero Ave, Suite 100 in Chicago, Illinois. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jack Enter PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-08-11
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 085.000925IL· Issued by LICENSE

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jack Enter PA-C accepts. To confirm in-network status with your specific health plan, contact Jack Enter PA-C directly at (773) 794-1000.

Frequently asked

Yes. NPI 1366444184 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (773) 794-1000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jack Enter PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2008-10
Enumerated2005-08-11
StatusActive
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