MS. JESSICA LYNN BOUDOS PAC PHYSICIAN ASSIST
NPI 1265570964
Physician Assistant - Medical in Chicago, IL
NPI Status: Active since February 02, 2007
Contact Information
680 N LAKE SHORE DR
#824 LAKE SHORE OBGYN
CHICAGO, IL
ZIP 60611
Phone: (312) 943-3300
Fax: (312) 266-4591
- Individual
- Female
- Physician Assistant
- Medical
- Accepts Insurance
About JESSICA BOUDOS
This page provides the complete NPI Profile along with additional information for Jessica Boudos, a primary care provider established in Chicago, Illinois with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1265570964 assigned on February 2007. The practitioner's primary taxonomy code is 363AM0700X with license number 85 002331 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1265570964
- Provider Name
- MS. JESSICA LYNN BOUDOS PAC PHYSICIAN ASSIST
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 680 N LAKE SHORE DR #824 LAKE SHORE OBGYN CHICAGO, IL 60611
- Location Phone
- (312) 943-3300
- Location Fax
- (312) 266-4591
- Mailing Address
- 680 N LAKE SHORE DR #824 LAKE SHORE OBGYN CHICAGO, IL 60611
- Mailing Phone
- (312) 943-3300
- Mailing Fax
- (312) 266-4591
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-02-2007
- Last Update Date
- 12-17-2021
- Code Navigator
A primary care provider (PCP) like Jessica Boudos sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 85 002331
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265570964, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265570964, enumerated as an "individual" on February 02, 2007.
The provider is located at 680 N LAKE SHORE DR #824 LAKE SHORE OBGYN CHICAGO, IL 60611 and the phone number is (312) 943-3300.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.
