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Search › Illinois › Medical Physician Assistant

Jessica Boudos, PAC PHYSICIAN ASSIST

NPI 1265570964 · on the registry since 2007

Practice

Address
680 N Lake Shore Dr
#824 Lake Shore Obgyn
Chicago, IL 60611
Phone
(312) 943-3300
Fax
(312) 266-4591
Organisation at this address
Androlab
Img Md, Llc
Walgreen Co
Telerapp Inc
Das Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
508

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-17
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois