HEATHER TACK (NP) – Nurse Practitioner, NPI 1023301595

HEATHER TACK (NP) is a healthcare provider. based in Burr ridge, Illinois. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 4704222690 (MI). The NPI Number for HEATHER TACK (NP) is 1023301595

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER TACK (NP)
NPI
1023301595
Phone
(888) 220-6432
Address
901 MCCLINTOCK DR
Enumeration Date
17 May 2011
Last Update Date
19 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7343356103
Graduation Year
2003 (23 years ago)
PAC ID
3173790151
Group Practice PAC ID
3072425784
Professional Enrollment ID
I20120113000462
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for HEATHER TACK (NP)

  • 901 MCCLINTOCK DR

    SUITE 202

    BURR RIDGE, IL 605270844

    Phone: (888) 220-6432

    Fax: (630) 734-4715

    Type: Mailing

  • 15474 HAGGERTY RD

    NORTHVILLE, MI 481700844

    Phone: (248) 615-0889

    Fax: (734) 404-5317

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60527)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072425784View full group profile
NameSpecialtyState
-IL
Nurse PractitionerMI
Infectious DiseaseIL
Emergency Medicine, Family PracticeTN
Physician AssistantIL
-IL
Infectious DiseaseMO
Nurse PractitionerFL
Physician AssistantIL
-KS

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Frequently asked questions

What unique ID ties claims to HEATHER TACK (NP)?
NPI 1023301595 is assigned to HEATHER TACK (NP) under the national enumeration system.
Is HEATHER TACK (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does HEATHER TACK (NP) treat or focus on?
Patients typically see HEATHER TACK (NP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for HEATHER TACK (NP)?
The page summarizes Burr Ridge, Illinois for HEATHER TACK (NP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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