IndividualActive
Jack Enter, PA-C
NPI 1366444184 · Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1366444184
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085-000925 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4211 N Cicero Ave
Suite 100
Chicago, IL 60641-1651
Phone: (773) 794-1000
Fax: (773) 794-9986
Street-level locationGet directions
Mailing address
10100 Forest Hills Rd
Machesney Park, IL 61115-8234
Registry dates
- Enumerated
- 2005-08-11
- Last updated
- 2008-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.