Physician Assistant
Mr. JACK BRUNSON PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1174950661 · enumerated 2013-09-30 · record updated 2025-11-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 6552 N OXFORD AVE, CHICAGO, IL, 60631-1529 (941) 321-9790 Google Maps Apple Maps OpenStreetMap
- Practice location 1425 N RANDALL RD, ELGIN, IL, 60123-2300 (847) 742-9800 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · License 085004840 IL
- Physician Assistant 363A00000X · Primary · License 085.004840 IL
- Physician Assistant 363A00000X · License 10002688A IN
- Physician Assistant 363A00000X · License 853623 WI
In this directory
Locations and evidence
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Practice location
ELGIN, IL, 601232300
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.