NPPES file of Aug 9, 2026

Ethan Jin, DO

Addiction Medicine (Anesthesiology) Physician · Maywood, IL

Ethan Jin, DO is an addiction medicine (anesthesiology) physician with a practice address in Maywood, Illinois, and NPI 1942051719, issued on Mar 29, 2024. Check the license (Illinois 125.084194, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1942051719
Name
Ethan Jin
Credential
DO
Primary taxonomy
Addiction Medicine (Anesthesiology) Physician 207LA0401X
License number
125.084194 IL
Self-reported in NPPES; status is on the state search
Practice location
2160 S 1St Ave, Maywood, IL 60153
Phone
(708) 216-9169
Enumerated
Mar 29, 2024
Record last updated
Aug 13, 2024
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 2160 S 1St Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Stefanie AbbottFamily Medicine Physician1861137457
  2. Osamah Abdallah, M.D.Internal Medicine Physician1275976144
  3. Abdelhai Abdelqader, MDGastroenterology Physician1073931127
  4. Samer Abdelsamie, D.M.DOral and Maxillofacial Surgery (Dentist)1366732257
  5. Zaid Abdelsattar, MD, MSCThoracic Surgery (Cardiothoracic Vascular Surgery) Physician1760793293
  6. Gerges Abdelsayed, MBBCH BAODiagnostic Radiology Physician1942902606

Verify Ethan Jin in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 125.084194
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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Addiction Medicine (Anesthesiology) Physician providers in Illinois

There are 2 addiction medicine (anesthesiology) physician records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other addiction medicine (anesthesiology) physician records in Illinois

  1. Ernest Rose, M.D.Chicago, IL1841336195

Common questions

What is Ethan Jin, DO's NPI number?

Ethan Jin, DO's National Provider Identifier (NPI) is 1942051719, issued on Mar 29, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Ethan Jin, DO located?

The NPPES record lists a practice address at 2160 S 1St Ave, Maywood, IL, 60153. Phone: (708) 216-9169. Providers update this record themselves, so call before visiting.

How can I verify Ethan Jin, DO's license?

NPPES lists Illinois license number 125.084194, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.