Endale T Mekonen Md Pc in Skokie - Infectious Disease

Endale T Mekonen Md Pc - NPI 1790822906

Endale T Mekonen Md Pc is a Infectious Disease in Skokie, Illinois. Endale T Mekonen Md Pc practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Endale T Mekonen Md Pc is 1790822906. The last update date is 2011-06-14.

Endale T Mekonen Md Pc's current location address is 4425 Madison St, Skokie, Illinois. You can contact this provider via phone number 7084796522 and fax number 7084796597. The mailing address for Endale T Mekonen Md Pc is 4425 Madison St, Skokie, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Endale T Mekonen Md Pc
Address 4425 Madison St, Skokie, Illinois
Phone Number 7084796522
Fax Number 7084796597
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mekonen T Endale
Credentials MD
Telephone Number 7084796522

NPI Number Detail

NPI Number 1790822906
Provider Enumeration Date 2007-01-30
Last Updated Date 2011-06-14

Provider Mailing Address Detail

Address 4425 Madison St
City Skokie
State Illinois (IL)
Post Code 600762627
Phone Number 7084796522
Fax Number 7084796597

Provider's Primary Taxonomy Detail

Speciality Infectious Disease
Taxonomy 207Ri0200X
Licence No 36085841
Definition:
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36085841 IL --

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FAQs about Endale T Mekonen Md Pc

What is the unique identifier code issued to Endale T Mekonen Md Pc by the Centers for Medicare & Medicaid Services?

The Endale T Mekonen Md Pc has been assigned the NPI (National Provider Identifier) 1790822906. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Endale T Mekonen Md Pc is physically located?

The Endale T Mekonen Md Pc is situated at the following address: 4425 Madison St, Skokie, IL 600762627.

What is Endale T Mekonen Md Pc's area of expertise and its corresponding taxonomy classification?

The Endale T Mekonen Md Pc's field of specialization is Infectious Disease, and it falls under the taxonomy code 207Ri0200X, which categorizes healthcare providers based on their areas of practice.

On what date did Endale T Mekonen Md Pc receive its 1790822906 assignment from the Centers for Medicare & Medicaid Services?

The Endale T Mekonen Md Pc was assigned its 1790822906 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Endale T Mekonen Md Pc last refreshed?

The information related to the Endale T Mekonen Md Pc, including its address, specialty, and other relevant details, was last updated on 2011-06-14.

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