Kidanu Birhanu Md Sc

LBN: Kidanu Birhanu Md Sc
Kidanu Birhanu Md Sc is an health care organization with primary practice located at 5660 W 95Th St Suite 3, Oak Lawn IL 60453-2380. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Kidanu Birhanu Md Sc can be contacted via phone (708) 229-1395, or through Birhanu, Kidanu via phone (708) 229-1395.

Contact Information

Primary practice address
5660 W 95Th St Suite 3 Oak Lawn IL 60453-2380
Phone: (708) 229-1395
Fax: (708) 857-4420
Website:
Map and Directions
Authorized official contact:
Name: Birhanu, Kidanu Doctor of Medicine (MD)
Phone: (708) 229-1395

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036072060 Illinois

Profile Details

NPI number 1154548121
LBN Legal business name Kidanu Birhanu Md Sc
DBA Doing business as
Authorized official Birhanu, Kidanu Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Jun 24th, 2010 - about 15 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 1154548121 NPPES
Illinois Other 01633358 BCBS OF IL
Illinois Other 110248456 BCBS OF IL

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