Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK C. ENTER JR., PA-C
ActivePhysician Assistant · CHICAGO, IL
Registration Details
- NPI Number
- 1366444184
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2005 (20.693753631243 yrs)
- Last Updated
- Oct 17, 2008
- License
-
085-000925 (IL)
Practice Information
- Address
-
4211 N CICERO AVESUITE 100CHICAGO, IL, 606411651Browse IL providers · Browse ZIP 60641
- Phone
- 7737941000
- Fax
- 7737949986
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CHANDRIKA SHAH | PA | 1114928884 |
| CASEY ANN MORAN | PA-C | 1740277441 |
| MS. SHANNON J HOBBS | PA-C | 1902893043 |
| MS. HONG HOLLY ZHANG | PA-C | 1609863620 |
| JENNIFER A CENTORE-LOBER | PA C | 1932198322 |
| MS. ERICA J KLAW | PA-C | 1215918230 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.