Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack C. Enter Jr., PA-C

Individual provider Physician Assistant · NPI 1366444184

Jack C. Enter Jr., PA-C is a Physician Assistant in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4211 N Cicero Ave Ste 100
Chicago, IL 60641-1651
Phone: (773) 794-1000
Fax: (773) 794-9986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-000925 (IL)

Record details

NPI number1366444184
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESOctober 17, 2008

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