Girma Balcha Assefa in South Holland - Internal Medicine
Girma Balcha Assefa - NPI 1619904992
Girma Balcha Assefa is a Internal Medicine in South Holland, Illinois. Girma Balcha Assefa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Girma Balcha Assefa is 1619904992. The last update date is 2021-12-18.
Girma Balcha Assefa's current location address is 100 W 162nd St, South Holland, Illinois. You can contact this provider via phone number 7087302200 and fax number 7082100636. The mailing address for Girma Balcha Assefa is 100 W 162nd St, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Girma Balcha Assefa |
|---|---|
| Address | 100 W 162nd St, South Holland, Illinois |
| Phone Number | 7087302200 |
| Fax Number | 7082100636 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619904992 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2021-12-18 |
Provider Mailing Address Detail
| Address | 100 W 162nd St |
|---|---|
| City | South Holland |
| State | Illinois (IL) |
| Post Code | 604732003 |
| Phone Number | 7087302200 |
| Fax Number | 7082100636 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 036-078388 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to Girma Balcha Assefa by the Centers for Medicare & Medicaid Services?
The Girma Balcha Assefa has been issued the NPI (National Provider Identifier) 1619904992, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Girma Balcha Assefa's facilities are situated?
The facilities of Girma Balcha Assefa are physically located at the following address: 100 W 162Nd St, South Holland, IL, 604732003.
What is Girma Balcha Assefa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Girma Balcha Assefa's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
When did Girma Balcha Assefa receive its 1619904992 assignment?
The Girma Balcha Assefa was assigned its 1619904992 on 2006-06-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Girma Balcha Assefa most recently updated?
The details pertaining to the Girma Balcha Assefa, including its address, specialty, and other relevant information, were last refreshed on 2021-12-18.
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