Jaclyn Boehm
NPI 1164219101ActiveIndividual· Physician Assistant· Morton Grove, IL
Physician Assistant with Illinois Bone and Joint Institute, LLC, practicing in Morton Grove, Illinois. Enrolled in Medicare as practitioner - physician assistant. Davol Inc. reported $20.02 in payments in 2025, mostly food and beverage. Lists Advocate Lutheran General Hospital as a hospital affiliation.
Overview
| NPI | 1164219101 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 23, 2025 |
| Last updated in NPPES | Apr 23, 2025 |
| Certified by provider | Apr 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Illinois Bone and Joint Institute, LLCGurnee, IL · 604 clinicians
Hospital affiliation
- Advocate Lutheran General HospitalPark Ridge, IL
Industry payments (Open Payments)
- 2025$20.02 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $20.02 | 1 |
What the 2025 payments were for
- Food and Beverage$20.02 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Morton Grove
- 1790120012
- 1437447802
- 1902783731
- 1649865122
- 1396069191
- 1538564869
- 1598247090
- 1669839304
- 1558367482
- 1326359100
- 1659981694
- 1528341252