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Jacob Dalton Boehm, PA-C
Physician Assistant in St Charles, Illinois
NPI 1932741717

Jacob Dalton Boehm is a Physician Assistant based in Oak Brook, IL. Jacob Dalton Boehm practices in St Charles, IL and has the professional credentials of PA-C. The NPI Number for Jacob Dalton Boehm is 1932741717 and holds a License No. (Illinois).

The current practice location address for Jacob Dalton Boehm is 409 Illinois Ave Unit 1D, St Charles, IL and can be reached out via phone at 630-974-6602 and via fax at 630-487-2411. You can also correspond with Jacob Dalton Boehm through the mailing address at 1100 JORIE BLVD STE 300, OAK BROOK, IL - 60523-2219 (mailing address contact number: 630-974-6602).

Location: 409 Illinois Ave Unit 1D, St Charles, IL, 60523-2219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932741717
Provider Name
Jacob Dalton Boehm
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
409 Illinois Ave Unit 1D, St Charles, IL, 60523-2219
Phone Number
630-974-6602
Fax Number
630-487-2411
Provider Enumeration Date
10/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
409 Illinois Ave Unit 1D
City
St Charles
State
Illinois
Zip
60174-2966
Phone Number
630-974-6602
Fax Number
630-487-2411
person
Provider Business Mailing Address Details
Address
1100 Jorie Blvd Ste 300
City
Oak Brook
State
Illinois
Zip
60523-2219
Phone Number
630-974-6602
Fax Number
630-487-2411
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085.007272 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
(Illinois)
Definition
Definition to come...
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