Ethan Jin, DO

Individual Active
NPI 1942051719
Addiction Medicine (Anesthesiology) Physician Maywood, IL

Ethan Jin, DO holds NPI 1942051719, with a primary taxonomy of addiction medicine (anesthesiology) physician and a practice location in Maywood, IL. The number was issued on March 29, 2024 and the NPPES record was last updated on August 13, 2024. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction Medicine (Anesthesiology) Physician Primary 207LA0401X 125.084194 (IL)
Student in an Organized Health Care Education/Training Program 390200000X Not listed

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9169

Local context

Active NPPES records list 2 providers with addiction medicine (anesthesiology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 2 in Illinois and 171 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Ethan Jin
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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