Paul C Tack (NPI# 1265446017, PAC ID# 9335129634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1265446017 |
| PAC ID by PECOS | 9335129634 |
| Professional Enrollment ID | I20040726000381 |
| Full Name | Paul C Tack |
| Address |
501 N Riverside Dr Suite 216 Gurnee IL 60031-5918 |
| Gender | M |
| Credential | MD |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 501 N Riverside Dr, Suite 216, Gurnee, IL 60031-5918 | ||
| 500 W Central Rd, Suite 204, Mt Prospect, IL 60056-2381 | 8473768144 | RELIABLE VISITING PHYSICIANS INC |
| Street Address |
501 N RIVERSIDE DR SUITE 216 |
| City | GURNEE |
| State | IL |
| Zip | 60031-5918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anatoly Arber | Interventional Pain Management | 501 N Riverside Dr, Suite 213, Gurnee, IL 60031-5918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Caplan | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rebecca E Jacobson | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Lauren E Rosen | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Esther Y Liu | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Erik B Pauls | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Smitha K. John | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Brenda Y Kim | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rajiv K Udani | Hospitalist | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Nancy A Nora | Nephrology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Therese A Hughes | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Find all physicians in zip 60031 | |||
| City | GURNEE |
| Zip Code | 60031 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GURNEE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Paul C Tack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.