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

Michael W. King, PA-C

Individual provider Physician Assistant · NPI 1063503787

Michael W. King, PA-C is a Physician Assistant in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

15 Founders Ln
Jacksonville, IL 62650-3918
Phone: (217) 528-7541
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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 085-001200 (IL)

Record details

NPI number1063503787
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020
Mailing address1025 S 6th St, Springfield, IL 62703-2403

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