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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JACK JAMES PA-C
NPI 1013839000
Physician Assistant in Gardner, IL

Active since July 29, 2026
207 S JACKSON ST, GARDNER, IL 60424(815) 822-7841 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack James Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK JAMES PA-C (NPI 1013839000) is an individual physician assistant in Gardner, Illinois, licensed in Illinois (1249459) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1013839000
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK JAMESCredential: PA-C
Location Address207 S JACKSON STGardner, IL 60424-6194
Mailing Address207 S Jackson StGardner, IL 60424-6194
Phone(815) 822-7841
Sole ProprietorNo
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1013839000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 1249459
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
207 S JACKSON ST, Gardner, IL 60424
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack James's NPI number?

The NPI number for Jack James is 1013839000. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Jack James located?

Jack James practices at 207 S Jackson St, Gardner, IL 60424. The listed phone number is (815) 822-7841.

What is Jack James's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jack James was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.