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

Jack James, PA-C

Individual provider Physician Assistant · NPI 1013839000

Jack James, PA-C is a Physician Assistant in Gardner, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

207 S Jackson St
Gardner, IL 60424-6194
Phone: (815) 822-7841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1249459 (IL)

Record details

NPI number1013839000
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address207 S Jackson St, Gardner, IL 60424-6194