Individual
MATTHEW ALLEN PTACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9650 GROSS POINT RD STE 2900, SKOKIE, IL 60076
(847) 866-7846
(866) 954-5787
Mailing address
2650 RIDGE AVE. SUITE 1223, SKOKIE, IL 60076-1214
(847) 866-7846
(866) 954-5787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085006139
IL
363AS0400X
Surgical Physician Assistant
Primary
085006139
IL
Other
Enumeration date
02/22/2017
Last updated
02/18/2026
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