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

Matthew Allen Ptack, PA-C

Individual provider Physician Assistant · NPI 1356880470

Matthew Allen Ptack, PA-C is a Physician Assistant in Skokie, Illinois. Qualified in 2016, 10 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
Specialties on file
2
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9650 Gross Point Rd Ste 2900
Skokie, IL 60076
Phone: (847) 866-7846
Fax: (866) 954-5787
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 9600 Gross Point Rd, Skokie, IL 60076-1214 — (847) 677-9600

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085006139 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085006139 (IL)

Record details

NPI number1356880470
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 22, 2017
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Skokie