Nicole M. Jack, PA-C
Nicole M. Jack, PA-C is a Physician Assistant in Pontiac, Illinois. Qualified in 2017, 9 years ago. Practices with Memorial Physician Services, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.
- Years since qualifying
- 9
- Licensed in
- IL
- In the registry since
- 2018
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2500 W Reynolds StPontiac, IL 61764
Phone: (815) 844-5343
Fax: (815) 844-5715
Show map & directions
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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 085006579 (IL) |
|---|
Record details
| NPI number | 1083104137 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 15, 2018 |
| Last updated in NPPES | June 18, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Memorial Physician Services — 158 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Pontiac
-
William Lee Chang II
2500 W Reynolds St, Pontiac, IL 61764-9774 · (815) 844-4062
-
John Kincinas, PA
2500 W Reynolds St, Pontiac, IL 61764-9774 · (815) 844-4062
-
Michele E Masching-Wright, PA-C
2500 W Reynolds St, Pontiac, IL 61764-9774 · (815) 842-4592
-
Emily Eileen McBeath
1506 W Reynolds St, Pontiac, IL 61764-9674 · (815) 844-6123
-
Leslie Romersberger
2500 W Reynolds St, Pontiac, IL 61764-9774 · (815) 844-5343