Jacob Dalton Boehm, PA-C
Jacob Dalton Boehm, PA-C is a Physician Assistant in St Charles, Illinois. Qualified in 2019, 7 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 7
- Licensed in
- IL
- In the registry since
- 2019
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
409 Illinois Ave Unit 1DSt Charles, IL 60174-2966
Phone: (630) 974-6602
Fax: (630) 487-2411
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1200 W State St, Rockford, IL 61102-2112 — (815) 490-1600
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085.007272 (IL) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X (IL) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 085.007272 (IL) |
Record details
| NPI number | 1932741717 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 12, 2019 |
| Last updated in NPPES | November 22, 2024 |
| Certification date | November 22, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Physicians Immediate Care North Chicago Llc — 261 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in St Charles
-
Katherine Cooley, PA-C
2000 W Main St Ste M, St Charles, IL 60174-1773 · (630) 584-9242
-
Miss. Jenna Elyse Eisses, PA-C
2900 Foxfield Rd Ste 100, St Charles, IL 60174-5799 · (630) 938-6000
-
Brooke N Johnson, PA-C
2900 Foxfield Rd Ste 100, St Charles, IL 60174-5799 · (630) 377-6500
-
Alex K Joseph, MBBS, PA-C
2000 W Main St, St Charles, IL 60174-1775 · (630) 463-6036