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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KIDUS MIRUTS MD
NPI 1972469781
Family Medicine in Chicago, IL

Active since December 25, 2025
1625 E 75TH ST, CHICAGO, IL 60649(773) 947-7309 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kidus Miruts Md NPPES

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

KIDUS MIRUTS MD (NPI 1972469781) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125.088981) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1972469781
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKIDUS MIRUTSCredential: MD
Location Address1625 E 75TH STChicago, IL 60649-3603
Mailing Address1625 E 75th StChicago, IL 60649-3603 · (773) 947-7309
Phone(773) 947-7309
Sole ProprietorYes
Enumeration DateDecember 25, 2025
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1972469781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125.088981
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License NA (DC)
1625 E 75TH ST, Chicago, IL 60649
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Other Providers at the Same Location NPPES 16

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

SHIRLEY MONTGOMERY M.D.
Pediatrics
1625 E 75TH ST, FIRST FLOOR
CHICAGO, IL 60649
Cook County (773) 947-7500
DR. LAKSHMI DODDA M. D.
Family Medicine
1625 E 75TH ST, FIRST FLOOR
CHICAGO, IL 60649
Cook County (773) 947-7314
RUKSANA S NAZNEEN M. D.
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-7310
MRS. SARAH G HALM LUTTERODT APN,CNS
Nurse Practitioner (Women's Health)
1625 E 75TH ST, SECOND FLOOR
CHICAGO, IL 60649
Cook County (773) 947-7800
DR. USMAN IQBAL KHAN M.D.
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-7313
FRIEDELL CLINIC, S. C.
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-2828
JACKSON PARK HOSPITAL
General Acute Care Hospital
1625 E 75TH ST, 1ST FLOOR
CHICAGO, IL 60649
Cook County (773) 947-7500
OMOVAUDO DIVINE OMO-EBOH MD
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-7313

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 Kidus Miruts's NPI number?

The NPI number for Kidus Miruts is 1972469781. It was assigned to this individual provider in the NPPES registry on December 25, 2025.

Where is Kidus Miruts located?

Kidus Miruts practices at 1625 E 75th St, Chicago, IL 60649. The listed phone number is (773) 947-7309.

What is Kidus Miruts's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kidus Miruts was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.