Jonathan Andrew Lin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

125.084093 Issued in IL

Practice address

2 Memorial Dr
Medical Office BLDG, a, Suite 220
Alton, IL 62002-6722

Phone

(618) 474-1723

Fax

(618) 433-6299

NPI assigned

Jun 5, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jonathan.lin.1@9559.direct.athenahealth.com

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1235970880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#4 MEMORIAL DRIVE",
            "address_2": "MEDICAL OFFICE BLDG, B, SUITE 115",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR",
            "address_2": "MEDICAL OFFICE BLDG, A, SUITE 220",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026722",
            "telephone_number": "618-474-1723",
            "fax_number": "618-433-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.084093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela S Liefer, MED, LCPC
• Lifenet, Inc.
• Barbara Liles
• Christopher Liljedahl, MA, LCPC
• Chien-Jung Lin, M.D., PH.D.
• Sarah Lind, BS
• John Edward Lindsay, D.P.M.
• Kelly J Lindsey, MD
• John Lipinski, HIS
• Mirtha D Liriano, MSW

• Family Medicine Physician in Alton, IL
• Providers in Alton, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.