| Addis Mekonnen, | |
|
1100 E Norris Dr, Ottawa, IL 61350-1604 | |
| (815) 433-3100 | |
| Not Available |
| Full Name | Addis Mekonnen |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 6 Years |
| Location | 1100 E Norris Dr, Ottawa, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457001562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 01100159A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 036.174020 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 01100159A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Anderson Hospital | Maryville, IL | Hospital |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 24 On Physicians Pc | 5698688141 | 277 |
| Midwest Inpatient Anderson Health Inc | 3072908474 | 46 |
| 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 |
Hesham Omar, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5380 Fax: 815-431-5672 |