Individual
AMY ADELE SCHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
650 DAKOTA ST STE A, CRYSTAL LAKE, IL 60012-3744
(815) 455-6000
(815) 356-1104
Mailing address
650 DAKOTA ST STE A, CRYSTAL LAKE, IL 60012-3744
(815) 455-6000
(815) 356-1104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006410
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085006410
STATE LICENSE
IL
01
—
1145773
NCCPA
IL
Enumeration date
10/02/2017
Last updated
05/14/2026
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