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THOR JALECO PHYSICIAN ASSISTANT
NPI 1659161636
Physician Assistant in Chicago, IL

Active since May 12, 2025PECOS EnrolledAccepts Medicare Assignment
4025 N SHERIDAN RD, CHICAGO, IL 60613(773) 388-1600 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Thor Jaleco Physician Assistant NPPES

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

THOR JALECO PHYSICIAN ASSISTANT (NPI 1659161636) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.011190) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2024).

NPPES Registry Identity

NPI1659161636
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOR JALECOCredential: PHYSICIAN ASSISTANT
Location Address4025 N SHERIDAN RDChicago, IL 60613-2010
Mailing Address4025 N Sheridan RdChicago, IL 60613-2010 · (773) 388-1600
Phone(773) 388-1600
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2024
Enumeration DateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1659161636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.011190
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4025 N SHERIDAN RD, Chicago, IL 60613
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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thor Jaleco Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325559925
PECOS Enrollment IDI20250619000173
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SUMMER KEE APRN
Nurse Practitioner (Psychiatric/Mental Health)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-1800
KUNAL BAKSHI M.D.
Family Medicine
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-1800
ARMAND R CERBONE PH.D.
Psychologist
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-1600
AMAYA BRIANN BLUE-FARRELL
Physician Assistant
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-1600
DR. MICHELLE EMERICK PSY.D.
Psychologist (Clinical)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-8903
DR. KATHYA M CHARTRE M.D.
Family Medicine
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-1600
MS. JESSICA FAYE HORWITZ FNP
Nurse Practitioner (Family)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (312) 731-5981
HOWARD BROWN HEALTH CENTER
Psychologist (Clinical)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-8909

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 Thor Jaleco's NPI number?

The NPI number for Thor Jaleco is 1659161636. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Thor Jaleco located?

Thor Jaleco practices at 4025 N Sheridan Rd, Chicago, IL 60613. The listed phone number is (773) 388-1600.

What is Thor Jaleco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thor Jaleco enrolled in Medicare?

Yes. Thor Jaleco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thor Jaleco accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Thor Jaleco 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 Thor Jaleco was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.