Jacob Tyler Pike, PA-C
Jacob Tyler Pike, PA-C is a Student in an Organized Health Care Education/Training Program in Evanston, Illinois. Works from 2 locations. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
Evanston, ILNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 29681 N Waukegan Rd Apt 204, Lake Bluff, IL 60044-5482 — (847) 525-7451
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085009824 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1063109627 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | April 24, 2023 |
| Last updated in NPPES | August 29, 2023 |
| Certification date | August 29, 2023 |
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Sara Perry
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Amanda L Pfeiffer, PA-C
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Julia Quandt, MSW, MT-BC
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