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JUDE AMIR YASIR AL ABOSY
NPI 1255131637
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 15, 2025PECOS Enrolled
1853 W POLK ST, CHICAGO, IL 60612(312) 996-3500 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jude Amir Yasir Al Abosy NPPES

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

JUDE AMIR YASIR AL ABOSY (NPI 1255131637) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255131637
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJUDE AMIR YASIR AL ABOSY
Location Address1853 W POLK STChicago, IL 60612-4355
Mailing Address1853 W Polk StChicago, IL 60612-4355
Phone(312) 996-3500
Sole ProprietorNo
Enumeration DateMarch 15, 2025
NPPES CertifiedMarch 15, 2025
✔ NPI 1255131637 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.
1853 W POLK ST, Chicago, IL 60612
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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)

Jude Amir Yasir Al Abosy 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.

MR. JUNYUN PARK
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
TIM PAN
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
EBONY LISSA MOCANU
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
LOGAN VAN POUCKE
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (630) 201-0378
QUINN ERICA HARRIS
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
ISABELLA ZORRA
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
AKEEM GILES
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450
ALEX NICHOLAS JABBOUR MS
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Cook County (312) 996-2450

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 Jude Al Abosy's NPI number?

The NPI number for Jude Al Abosy is 1255131637. It was assigned to this individual provider in the NPPES registry on March 15, 2025.

Where is Jude Al Abosy located?

Jude Al Abosy practices at 1853 W Polk St, Chicago, IL 60612. The listed phone number is (312) 996-3500.

What is Jude Al Abosy's specialty?

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

Is Jude Al Abosy enrolled in Medicare?

Yes. Jude Al Abosy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jude Al Abosy was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.