Endale T Mekonen Md Pc

LBN: Endale T Mekonen Md Pc
Endale T Mekonen Md Pc is an health care organization with primary practice located at 4425 Madison St , Skokie IL 60076-2627. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Endale T Mekonen Md Pc can be contacted via phone (708) 479-6522, or through Mekonen, Endale T via phone (708) 479-6522.

Contact Information

Primary practice address
4425 Madison St Skokie IL 60076-2627
Phone: (708) 479-6522
Fax: (708) 479-6597
Website:
Map and Directions
Authorized official contact:
Name: Mekonen, Endale T Doctor of Medicine (MD)
Phone: (708) 479-6522

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036085841 Illinois

Profile Details

NPI number 1790822906
LBN Legal business name Endale T Mekonen Md Pc
DBA Doing business as
Authorized official Mekonen, Endale T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jun 14th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790822906 NPPES
Illinois MEDICAID 036085841

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