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MS. JESSICA LYNN BOUDOS PAC PHYSICIAN ASSIST
NPI 1265570964
Physician Assistant - Medical in Chicago, IL

Active since February 02, 2007
680 N LAKE SHORE DR, #824 LAKE SHORE OBGYN, CHICAGO, IL 60611(312) 943-3300(312) 266-4591 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jessica Lynn Boudos Pac Physician Assist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JESSICA LYNN BOUDOS PAC PHYSICIAN ASSIST (NPI 1265570964) is an individual medical provider in Chicago, Illinois, licensed in Illinois (85 002331) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1265570964
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. JESSICA LYNN BOUDOSCredential: PAC PHYSICIAN ASSIST
Location Address680 N LAKE SHORE DR, #824 LAKE SHORE OBGYNChicago, IL 60611
Mailing Address680 N Lake Shore Dr, #824 Lake Shore ObgynChicago, IL 60611 · (312) 943-3300 · Fax (312) 266-4591
Phone(312) 943-3300
Fax(312) 266-4591
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1265570964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 85 002331
680 N LAKE SHORE DR, Chicago, IL 60611
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BONNIE DEVROE MALIK CRNA
Nurse Anesthetist, Certified Registered
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
IMG MD, LLC
Medical Genetics, Ph.D. Medical Genetics
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 981-4400
DR. JAY MICHAEL PENSLER M.D.
Specialist
680 N LAKE SHORE DR, SUITE 1125
CHICAGO, IL 60611
Cook County (312) 642-7777
JAY PRYSTOWSKY MD
Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
ANURADHA PERNI MD
Anesthesiology (Pain Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C.
Obstetrics & Gynecology (Gynecology)
680 N LAKE SHORE DR, SUITE117
CHICAGO, IL 60611
Cook County (312) 654-1166
DR. LEANNE TRAPP BENSKO M.D.
Pediatrics
680 N LAKE SHORE DR, 1050
CHICAGO, IL 60611
Cook County (312) 642-5515
DR. JULIA GOLDIN DNP
Nurse Practitioner (Family)
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 965-6868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Boudos's NPI number?

The NPI number for Jessica Boudos is 1265570964. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Jessica Boudos located?

Jessica Boudos practices at 680 N Lake Shore Dr #824 Lake Shore Obgyn, Chicago, IL 60611. The listed phone number is (312) 943-3300.

What is Jessica Boudos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Jessica Boudos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jessica Boudos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Boudos was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.