Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aya Kaddoura

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063162519

Aya Kaddoura is a Family Practice in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with University of Chicago, a 1,681-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Chicago, IL

Additional practice locations (2)

  • 5841 S Maryland Ave, Chicago, IL 60637-1443 — (888) 824-0200
  • 13540 Hull Street Rd, Midlothian, VA 23112-2107 — (804) 739-6142

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036173118 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063162519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chicago