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Mr. Jack Michael Brunson, PA-C
Physician Assistant in Elgin, Illinois
NPI 1174950661

Jack Michael Brunson is a Physician Assistant based in Chicago, IL. Jack Michael Brunson practices in Elgin, IL and has the professional credentials of PA-C. The NPI Number for Jack Michael Brunson is 1174950661 and holds a License No. 10002688A (Illinois).

The current practice location address for Jack Michael Brunson is 1425 N Randall Rd, Elgin, IL and can be reached out via phone at 847-742-9800. You can also correspond with Jack Michael Brunson through the mailing address at 2300 N LINCOLN PARK W, CHICAGO, IL - 60614-3456 (mailing address contact number: 941-321-9790).

Location: 1425 N Randall Rd, Elgin, IL, 60614-3456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174950661
Provider Name
Jack Michael Brunson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1425 N Randall Rd, Elgin, IL, 60614-3456
Phone Number
847-742-9800
Fax Number
Provider Enumeration Date
09/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1425 N Randall Rd
City
Elgin
State
Illinois
Zip
60123-2300
Phone Number
847-742-9800
Fax Number
person
Provider Business Mailing Address Details
Address
2300 N Lincoln Park W
City
Chicago
State
Illinois
Zip
60614-3456
Phone Number
941-321-9790
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085004840 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
10002688A (Indiana)
Definition
Definition to come...
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