| Kidanu Birhanu, MD | |
|
24 Joliet St, Ste 302, Dyer, IN 46311-1705 | |
| (219) 852-2518 | |
| (219) 864-2156 |
| Full Name | Kidanu Birhanu |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 45 Years |
| Location | 24 Joliet St, Dyer, Indiana |
| 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 |
|---|---|---|---|
| 1710073952 | NPI | - | NPPES |
| 036072060 | Medicaid | IL | |
| 01633358 | Other | IL | BCBS OF IL |
| 110248456 | Other | IL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01066132 (Indiana) | Primary |
| 207R00000X | Internal Medicine | 036072060 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Kidanu Birhanu, MD 24 Joliet St, Ste 302, Dyer, IN 46311-1705 Ph: (219) 852-2518 | Kidanu Birhanu, MD 24 Joliet St, Ste 302, Dyer, IN 46311-1705 Ph: (219) 852-2518 |
Dr. Sumanth Mulamalla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15900 W 101st Ave, Dyer, IN 46311 Phone: 219-365-6333 Fax: 219-365-8291 | |
Jeannie Boram Ur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Eshwar Nagraj Murthy, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Mohamad Kassar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Calumet Ave, Dyer, IN 46311 Phone: 219-924-8178 Fax: 219-924-8179 | |
C Richard Smith, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2150 Gettler St Ste 400, Dyer, IN 46311 Phone: 219-865-0893 Fax: 219-865-3599 | |
Dr. Vladimir Selounski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Dr. Harold Leroy Rahming, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 |