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

Jaclyn Boehm

Individual provider Physician Assistant · NPI 1164219101

Jaclyn Boehm is a Physician Assistant in Morton Grove, Illinois. Qualified in 2025, 1 year ago. Practices with Illinois Bone and Joint Institute, LLC, a 606-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

9000 Waukegan Rd Ste 200
Morton Grove, IL 60053-2127
Phone: (847) 375-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164219101
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Illinois Bone And Joint Institute, Llc — 606 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Morton Grove