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JACK C. ENTER JR. PA-C
NPI 1366444184
Physician Assistant in Chicago, IL

Active since August 11, 2005
4211 N CICERO AVE, SUITE 100, CHICAGO, IL 60641(773) 794-1000(773) 794-9986 Get Directions Write a Review

NPPES record last updated: October 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack C. Enter Jr. Pa-c NPPES

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

JACK C. ENTER JR. PA-C (NPI 1366444184) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085-000925) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1366444184
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK C. ENTER JR.Credential: PA-C
Location Address4211 N CICERO AVE, SUITE 100Chicago, IL 60641-1651
Mailing Address10100 Forest Hills RdMachesney Park, IL 61115-8234 · (815) 713-2742 · Fax (815) 282-8597
Phone(773) 794-1000
Fax(773) 794-9986
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateOctober 17, 2008
✔ NPI 1366444184 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 · 085-000925
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.
4211 N CICERO AVE, Chicago, IL 60641
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Other Identifiers 3

Medicare UPINS89862IL
Other085.000925IL · License
Medicare PIN557270IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH LOUISE ANDRICH FNP
Nurse Practitioner (Family)
4211 N CICERO AVE
CHICAGO, IL 60641
Cook County (773) 794-1000
EMMA FRANKEL PA-C
Physician Assistant
4211 N CICERO AVE
CHICAGO, IL 60641
Cook County (773) 794-1000
KIRAN P AMIN MDSC
Surgery
4211 N CICERO AVE, SUITE 201
CHICAGO, IL 60641
Cook County (773) 481-1001
BONE AND JOINT CENTER PC
Specialist
4211 N CICERO AVE, SUITE 200
CHICAGO, IL 60641
Cook County (773) 545-6900
MS. LAUREN KIMBERLY HOFIUS CSA
Specialist/Technologist, Other (Surgical Assistant)
4211 N CICERO AVE, #400
CHICAGO, IL 60641
Cook County (773) 794-3100
SUSAN DODDRIDGE FNP-BC
Nurse Practitioner (Family)
4211 N CICERO AVE
CHICAGO, IL 60641
Cook County (773) 794-1000
SIX CORNERS SAME DAY SURGERY, LLC.
Clinic/Center (Ambulatory Surgical)
4211 N CICERO AVE, SUITE 400
CHICAGO, IL 60641
Cook County (773) 545-6900
CAROLINE RODRIGUEZ N.P.
Nurse Practitioner
4211 N CICERO AVE
CHICAGO, IL 60641
Cook County (773) 794-1000

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 Enter's NPI number?

The NPI number for Jack Enter is 1366444184. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Jack Enter located?

Jack Enter practices at 4211 N Cicero Ave Suite 100, Chicago, IL 60641. The listed phone number is (773) 794-1000.

What is Jack Enter'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 Enter was last updated on October 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.