Ptack, Matthew Allen

Ptack, Matthew Allen is an individual health care provider with primary practice located at 9650 Gross Point Rd Ste 2900 , Skokie IL 60076. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Ptack, Matthew Allen can be contacted via phone (847) 866-7846.

Contact Information

Primary practice address
9650 Gross Point Rd Ste 2900 Skokie IL 60076
Phone: (847) 866-7846
Fax: (866) 954-5787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006139 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085006139 Illinois

Profile Details

NPI number 1356880470
LBN Legal business name Ptack, Matthew Allen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2017
Last updated Feb 18th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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