MS. Jessica Lynn Boudos, PACPHYSICIANASSIST
MS. Jessica Lynn Boudos, PACPHYSICIANASSIST is a Medical Physician Assistant in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
680 N Lake Shore Dr #824 Lake Shore ObgynChicago, IL 60611
Phone: (312) 943-3300
Fax: (312) 266-4591
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Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 85 002331 (IL) |
|---|
Record details
| NPI number | 1265570964 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PACPHYSICIANASSIST |
| Sole proprietor | No |
| NPI enumerated | February 2, 2007 |
| Last updated in NPPES | December 17, 2021 |
| Certification date | December 17, 2021 |
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