Individual provider · Type 1 NPI

Jessica Bastidas, PA-C

Surgical Physician Assistant · Chicago, IL

NPI number 1205238367 Active

Practice location

5215 N California Ave Ste F801
Chicago, IL 60625-7014

Call (847) 503-3000 Map

Fax (847) 503-3500

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Other practice locations

  • 17495 La Grange Rd, Tinley Park, IL 60487-7581 · (630) 790-1221

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085.005220 (IL)
Surgical Physician Assistant Primary 363AS0400X085005220 (IL)

Surgical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1205238367

Jessica Bastidas, PA-C's National Provider Identifier is 1205238367, issued on Sep 20, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chicago, IL. The record was last updated on Apr 9, 2024.