MR. JACK BRUNSON, PA-C

Physician Assistant

Active Individual
NPI: 1174950661

Practice Address

1425 N RANDALL RD
Elgin, IL 60123

Phone: (847) 742-9800

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 085004840 (IL)
Physician Assistant 363A00000X No 853623 (WI)

Frequently Asked Questions

NPI 1174950661 is the National Provider Identifier for MR. JACK BRUNSON, PA-C, a Physician Assistant provider located in Elgin, IL. This NPI was enumerated on September 30, 2013.
MR. JACK BRUNSON, PA-C practices at 1425 N RANDALL RD, Elgin, IL 60123.

Quick Facts

NPI
1174950661
Type
Individual
Enumerated
Sep 30, 2013
Last Updated
Nov 24, 2025

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