Individual provider Active NPI

Ayomide Abibat Jinadu

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1437053659
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
041528212 Issued in IL
Practice address
845 S Damen Ave
Chicago, IL 60612-3727
Phone
(312) 996-7800
NPI assigned
Oct 3, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 041528212 IL Primary

Addresses

Primary practice location

845 S Damen Ave
Chicago, IL 60612-3727

Mailing address

6933 N Kedzie Ave Apt 1112
Chicago, IL 60645-2729
Phone (872) 235-3378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041528212ILMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1437053659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 N KEDZIE AVE APT 1112",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452729",
            "telephone_number": "872-235-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123727",
            "telephone_number": "312-996-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINADU",
        "first_name": "AYOMIDE",
        "middle_name": "ABIBAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "041528212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.