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

Mr. Jacob Allen Klaustermeier, PAC

Individual provider Dermatology Physician · NPI 1952560443

Mr. Jacob Allen Klaustermeier, PAC is a Physician Assistant in Crystal Lake, Illinois. Qualified in 2007, 19 years ago. Practices with Suleman J. Bangash D.o.s.c., a 17-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2008
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

820 E Terra Cotta Ave
Crystal Lake, IL 60014-3649
Phone: (815) 455-4434
Fax: (815) 455-4591
Show map & directions

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

Additional practice locations (2)

  • 355 Lennon Ln, Walnut Creek, CA 94598-2475 — (925) 932-7704
  • 820 E Terra Cotta Ave, Crystal Lake, IL 60014-3649 — (815) 455-4434

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 085002984 (IL)

Record details

NPI number1952560443
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 9, 2008
Last updated in NPPESApril 26, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Suleman J. Bangash D.O.S.C. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Crystal Lake