Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jay Boughanem, MD

Individual provider Orthopaedic Surgery Physician · NPI 1518115948

Dr. Jay Boughanem, MD is an Orthopedic Surgery in Chicago, Illinois. Graduated from Northwestern University Feinberg Medical School in 2005, 21 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
21
Trained at
Northwestern University Feinberg Medical School
Licensed in
IL, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

676 N Saint Clair St Fl 13 Dept OF Orthopaedic Surgery
Chicago, IL 60611-3060
Phone: (312) 926-4485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1626 Tuttle St, Baraboo, WI 53913-1501 — (608) 355-6868

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036120773 (IL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 73259-20 (WI)

Record details

NPI number1518115948
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 27, 2008
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address2718 N Wilton Ave, Unit 2, Chicago, IL 60614-2875

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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