Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Paul C Tack, MD

Individual provider Internal Medicine Physician · NPI 1265446017

Dr. Paul C Tack, MD is an Internal Medicine in Gurnee, Illinois. Graduated from Emory University School of Medicine in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
31
Trained at
Emory University School of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 N Riverside Dr Ste 102
Gurnee, IL 60031-5918
Phone: (847) 625-8300
Fax: (847) 625-8862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036097015 (IL)

Record details

NPI number1265446017
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 29, 2014
Mailing address501 N Riverside Dr, Suite 216, Gurnee, IL 60031-5918

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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