Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IZAYADETH AGUAYO JENNINGS, M.D.
Active Sole ProprietorIZAYADETH AGUAYO JENNINGS, M.D. is a Sports Medicine (IM) healthcare provider located in LISLE, Illinois. NPI 1205285996 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · LISLE, IL
Registration Details
- NPI Number
- 1205285996
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2016 (10.213752513191 yrs)
- Last Updated
- Oct 15, 2025
- Licenses
-
W0424 (TX)58377 (AZ)46392 (OK)036176313 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3030 WARRENVILLE RD STE 210LISLE, IL, 605323646Browse IL providers · Browse ZIP 60532
- Phone
- 8722150361
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.