Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Tamara A. Pride, PA-C

Individual provider Physician Assistant · NPI 1649494691

Miss. Tamara A. Pride, PA-C is a Physician Assistant in Crystal Lake, Illinois. Qualified in 2001, 25 years ago. Practices with Suleman J. Bangash D.o.s.c., a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
25
Licensed in
IL
In the registry since
2007
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

820 E Terra Cotta Ave Ste 125
Crystal Lake, IL 60014
Phone: (815) 455-4434
Fax: (815) 455-4593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 W Central Rd Ste 200, Arlington Heights, IL 60005-2465 — (847) 392-5440

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085001795 (IL)

Record details

NPI number1649494691
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESMay 24, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Suleman J. Bangash D.O.S.C. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Crystal Lake