Jacob Tyler Pike, PA-C

NPI #1063109627 in Evanston, Illinois

Provider Information

NPI Number: 1063109627
Entity Type: Individual
Name: Jacob Tyler Pike, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 24, 2023
Last Updated: Aug 29, 2023

Practice Location

Address: 2650 RIDGE AVE
City: Evanston
State: Illinois
ZIP Code: 60201-1700
Phone: (847) 525-7451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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