Individual provider Active NPI

Justin Bradley Jin, M.D.

  • Pediatric Cardiology Physician
  • Chicago, IL
National Provider Identifier
1164800116
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
036.160271 Issued in IL
Practice address
225 E Chicago Ave # 21
Chicago, IL 60611-2991
Phone
(312) 227-4100
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 036.160271 IL Primary
Pediatrics Physician 208000000X 35.133264 OH

Addresses

Primary practice location

225 E Chicago Ave # 21
Chicago, IL 60611-2991

Mailing address

225 E Chicago Ave # 21
Chicago, IL 60611-2991
Phone (312) 227-4100

Other practice location 1

2301 Enterprise Dr
Westchester, IL 60154-5802
Phone (312) 227-7900

Other practice location 2

1475 E Belvidere Rd Unit 285
Grayslake, IL 60030-2026
Phone (312) 227-8500

Other practice location 3

1895 Arbor Glen Blvd
Schaumburg, IL 60195-3114
Phone (312) 227-5411

Other practice location 4

1870 Silver Cross Blvd Ste 210
New Lenox, IL 60451-8646
Phone (312) 227-3620

Other practice location 5

1131 Techny Rd
Northbrook, IL 60062-5503
Phone (312) 227-3620

Other practice location 6

3722 Touhy Ave
Skokie, IL 60076-3941
Phone (312) 227-5600

Other practice location 7

25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-6631

Other practice location 8

2515 N Clark St Ste 900
Chicago, IL 60614-2730
Phone (312) 227-6460

Other practice location 9

900 N Westmoreland Rd Ste 110
Lake Forest, IL 60045-1688
Phone (312) 227-1010

Other practice location 10

880 W Central Rd Ste 6400
Arlington Heights, IL 60005-2378
Phone (312) 227-5410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518001563 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 0345541744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 E Chicago Ave
Chicago, IL 60611-2991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.133264OHMDPediatrics Physician
036.160271ILMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lurie Children'S Medical Group Inc Pediatrics PastSince Jul 1, 2022 Accepting new patients
Lurie Children'S Medical Group, LLC Pediatrics Past Accepting new patients
Central Dupage Physician Group Pediatrics PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1164800116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 21",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 21",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545802",
            "country_code": "US",
            "telephone_number": "312-227-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 E Belvidere Rd Unit 285",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600302026",
            "country_code": "US",
            "telephone_number": "312-227-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1895 Arbor Glen Blvd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601953114",
            "country_code": "US",
            "telephone_number": "312-227-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 Silver Cross Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604518646",
            "country_code": "US",
            "telephone_number": "312-227-3620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1131 Techny Rd",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600625503",
            "country_code": "US",
            "telephone_number": "312-227-3620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3722 Touhy Ave",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600763941",
            "country_code": "US",
            "telephone_number": "312-227-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-933-6631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 N Clark St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606142730",
            "country_code": "US",
            "telephone_number": "312-227-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Westmoreland Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451688",
            "country_code": "US",
            "telephone_number": "312-227-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 W Central Rd Ste 6400",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600052378",
            "country_code": "US",
            "telephone_number": "312-227-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIN",
        "first_name": "JUSTIN",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036.160271",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.133264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.