Addis Mekonnen, is a
Hospitalist physician based in Ottawa, Illinois. Addis Mekonnen is licensed to practice in Illinois (license number 036.174020) and his current practice location is 1100 E Norris Dr, Ottawa, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 433-3100.
NPI number for Addis Mekonnen is 1457001562 and his current mailing address is 1743 Orchard St, Des Plaines, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457001562.
Physician's Profile
Full Name | Addis Mekonnen |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 1100 E Norris Dr, Ottawa, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457001562
- Provider Enumeration Date: 03/24/2022
- Last Update Date: 07/05/2025
Medical Identifiers
Medical identifiers for Addis Mekonnen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457001562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 036.174020 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Addis Mekonnen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Addis Mekonnen, 1743 Orchard St, Des Plaines, IL 60018-2260 Ph: (312) 723-2582 | Addis Mekonnen, 1100 E Norris Dr, Ottawa, IL 61350-1604 Ph: (815) 433-3100 |
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