Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan A Fruchey, PA-C

Individual provider Medical Physician Assistant · NPI 1558719773

Jordan A Fruchey, PA-C is a Physician Assistant in Chicago, Illinois. Graduated from Wayne State University School of Medicine in 2016, 10 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Trained at
Wayne State University School of Medicine
Licensed in
IL
In the registry since
2016
Specialties on file
2
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

675 N Saint Clair St Ste 19-100
Chicago, IL 60611-5969
Phone: (312) 664-3278
Fax: (312) 695-5774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 251 E Huron St Ste 16-738, Chicago, IL 60611-2908 — (312) 694-8536

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006365 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085006365 (IL)

Record details

NPI number1558719773
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 27, 2016
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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