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

Jodi Beth Khouri, PA-C

Individual provider Physician Assistant · NPI 1902007024

Jodi Beth Khouri, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2004, 22 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Illinois.

Years since qualifying
22
Licensed in
AZ, IL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

676 N Saint Clair St Ste 2000
Chicago, IL 60611-3147
Phone: (312) 695-5620
Fax: (312) 695-7095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002427 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 6833 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085.002427 (IL)

Record details

NPI number1902007024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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