Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN TKACZYK, PA-C
Active Sole ProprietorEVAN TKACZYK, PA-C is a Medical Physician Assistant healthcare provider located in CHICAGO, Illinois. NPI 1790305704 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CHICAGO, IL
Registration Details
- NPI Number
- 1790305704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2020 (6.3644633791058 yrs)
- Last Updated
- Jan 31, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
2322 W PETERSON AVE.CHICAGO, IL, 606593120Browse IL providers · Browse ZIP 60659
- Phone
- 8003251812
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| HARENDRA P. SHAH | PA-C | 1306847207 |
| MRS. JOANNE SIM BAVELIS | PAC | 1063406718 |
| MS. TRACI AARON | PA-C | 1174510200 |
| MS. LACEY MONTGOMERY | PA-C | 1639166796 |
| MR. BARRY S SABRANSKY | PA-C | 1598752578 |
| GINA J UGO-NEFF | PA-C | 1174511851 |
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.