Individual provider Active NPI

Jessica Gewont

  • Physician Assistant
  • Orland Park, IL
National Provider Identifier
1003770223
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.011905 Issued in IL
Practice address
10640 165TH St
Orland Park, IL 60467-8734
Phone
(708) 364-0261
NPI assigned
Dec 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 085.011905 IL Primary

Addresses

Primary practice location

10640 165TH St
Orland Park, IL 60467-8734

Mailing address

10640 165TH St
Orland Park, IL 60467-8734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130003527 IL Practitioner - Physician Assistant 1153809140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10640 165TH St
Orland Park, IL 60467-8734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.011905ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sigma Health PC Single Specialty CurrentSince Jan 5, 2026 Accepting new patients

Locations

1924 Springbrook Square Dr
Naperville, IL 60564
Phone (630) 527-0188

10640 165th St
Orland Park, IL 60467

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1003770223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 165TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 165TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678734",
            "telephone_number": "708-364-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEWONT",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.011905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.