Dereje Ketema Belayneh

NPI 1184945750 - Internal Medicine - 207R00000X

NPI Details
NPI 1184945750
Gender Male
Enumeration Date 06/18/2010
Last Updated 06/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
251 E HURON ST
GALTER 3-150
CHICAGO IL, 60611-2908, US
Phone (312) 926-2253
Fax (312) 926-6905
Business Location
77 W HURON ST
APT# 1610
CHICAGO IL, 60654-2852, US
Phone (617) 849-0757
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125058002
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According to our database, Dr. Dereje Ketema Belayneh NPI is 1184945750, taxonomy code is 207R00000X and license number is 125058002, license state is located at Illinois. Dereje Ketema Belayneh physically located at 251 E Huron St, Chicago IL, 60611-2908. NPI Number Dereje Ketema Belayneh has the Individual type.

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1184945750 NPI number is provided on an as is basis without warranty of any kind. 1184945750 is maintained by the National Plan & Provider Enumeration System. The contents of Dereje Ketema Belayneh are for informational purposes only.