| Endale Mekonen MD PC | |
|
4425 Madison St Skokie IL 60076-2627 | |
| (708) 479-6522 | |
| (708) 479-6597 |
| Full Name | Endale Mekonen MD PC |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 4425 Madison St, Skokie, Illinois |
| Authorized Official Name and Position | Endale Mekonen (PRESIDENT) |
| Authorized Official Contact | 7084796522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endale Mekonen MD PC 4425 Madison St Skokie IL 60076-2627 Ph: (708) 479-6522 | Endale Mekonen MD PC 4425 Madison St Skokie IL 60076-2627 Ph: (708) 479-6522 |
| NPI Number | 1538298500 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538298500 | NPI | - | NPPES |
| 036085841 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 036085841 (Illinois) | Primary |
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