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

Luke C Tanabe, PA-C

Individual provider Physician Assistant · NPI 1356235576

Luke C Tanabe, PA-C is a Physician Assistant in Lake Forest, Illinois. Qualified in 2025, 1 year ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
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

800 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1671
Phone: (847) 535-7657
Fax: (224) 271-4600
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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 085011696 (IL)

Record details

NPI number1356235576
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 3, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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