MATTHEW ALLEN PTACK

SKOKIE, IL
NPI1356880470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085006139)
Enumeration Date2017-02-22
Last Update Date2018-10-25
Business Address
MATTHEW ALLEN PTACK PA-C
9650 GROSS POINT RD STE 2900
SKOKIE, IL 60076
Phone number: 847-866-7846
Mailing Address
MATTHEW ALLEN PTACK PA-C
9650 GROSS POINT RD STE 2900
SKOKIE, IL 60076-1214
Phone number: 847-866-7846
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