Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN JIN, DO
ActiveETHAN JIN, DO is a Addiction Medicine (Anesthesiology) healthcare provider located in MAYWOOD, Illinois. NPI 1942051719 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Anesthesiology) · MAYWOOD, IL
Registration Details
- NPI Number
- 1942051719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2024 (2.4124473325275 yrs)
- Last Updated
- Aug 13, 2024
- License
-
125.084194 (IL)
Practice Information
- Address
-
2160 S 1ST AVEMAYWOOD, IL, 601533328Browse IL providers · Browse ZIP 60153
- Phone
- 7082169169
- Primary Specialty
-
Addiction Medicine (Anesthesiology)
207LA0401X
- Additional Specialty
- Addiction Medicine (Anesthesiology)
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.