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JESSICA CHIN
NPI 1164051165
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 02, 2020PECOS Enrolled
836 W WELLINGTON AVE, CHICAGO, IL 60657(773) 975-1600 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Chin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA CHIN (NPI 1164051165) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164051165
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA CHIN
Location Address836 W WELLINGTON AVEChicago, IL 60657-5147
Mailing Address836 W Wellington Ave Ste 1312Chicago, IL 60657-5147
Phone(773) 975-1600
Sole ProprietorNo
Enumeration DateApril 2, 2020
NPPES CertifiedApril 2, 2020
✔ NPI 1164051165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
836 W WELLINGTON AVE, Chicago, IL 60657
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Chin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT R TURELLI JR. MD
Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5878
JAYME L. CAPPA
Speech-Language Pathologist
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-7988
DR. CHIMUANYA OKOLI MD
Internal Medicine (Sleep Medicine)
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5424
DEBRA FARIDA
Nurse Anesthetist, Certified Registered
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 975-1600
MALIK SAHOURI DO
Anesthesiology
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5187
SERGIO GUTIERREZ NUNEZ MD
Anesthesiology
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5187
MS. NOREEN MARIE SHERIDAN RD. LDN,CDE
Dietitian, Registered
836 W WELLINGTON AVE, FOOD AND NUTRITION DEPT.
CHICAGO, IL 60657
Cook County (773) 296-5912
ANN M HARVEY APN, CNP
Nurse Practitioner
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-3646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Chin's NPI number?

The NPI number for Jessica Chin is 1164051165. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Jessica Chin located?

Jessica Chin practices at 836 W Wellington Ave, Chicago, IL 60657. The listed phone number is (773) 975-1600.

What is Jessica Chin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Chin enrolled in Medicare?

Yes. Jessica Chin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Chin was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.