MEDICARE: PACIC MCD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1396692299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACIC MCD LLC

Provider Business Mailing Address
First Line	:	921 SHERWOOD DR
Second Line	:
City	:	LAKE BLUFF
State	:	IL
Zip	:	60044-2203
Country	:	US
Telephone Number	:	888-987-1489
Fax Number	:	224-255-5813

Provider Business Practice Location Address
First Line	:	540 E JEFFERSON ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-2477
Country	:	US
Telephone Number	:	319-339-3621
Fax Number	:

Authorized Official
Title or Position	:	SOLE MBR
Name	:	JENS STRAND
Credential	:	MD
Telephone Number	:	888-987-1489

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “PACIC MCD LLC ” Practice Location

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