Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JESSICA LYNN BOUDOS, PAC PHYSICIAN ASSIST
ActiveMS. JESSICA LYNN BOUDOS, PAC PHYSICIAN ASSIST is a Medical Physician Assistant healthcare provider located in CHICAGO, Illinois. NPI 1265570964 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CHICAGO, IL
Registration Details
- NPI Number
- 1265570964
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2007 (19.565189537471 yrs)
- Last Updated
- Dec 17, 2021
- License
-
85 002331 (IL)
Practice Information
- Address
-
680 N LAKE SHORE DR#824 LAKE SHORE OBGYNCHICAGO, IL, 60611Browse IL providers · Browse ZIP 60611
- Phone
- 3129433300
- Fax
- 3122664591
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| HARENDRA P. SHAH | PA-C | 1306847207 |
| MRS. JOANNE SIM BAVELIS | PAC | 1063406718 |
| MS. TRACI AARON | PA-C | 1174510200 |
| MS. LACEY MONTGOMERY | PA-C | 1639166796 |
| MR. BARRY S SABRANSKY | PA-C | 1598752578 |
| GINA J UGO-NEFF | PA-C | 1174511851 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.