| Kidanu Birhanu MD SC | |
|
24 Joliet St Suite 302 Dyer IN 46311-1705 | |
| (219) 852-2518 | |
| (219) 864-2156 |
| Full Name | Kidanu Birhanu MD SC |
|---|---|
| Speciality | Clinic/center |
| Location | 24 Joliet St, Dyer, Indiana |
| Authorized Official Name and Position | Kidanu Birhanu (OWNER) |
| Authorized Official Contact | 7083342352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidanu Birhanu MD SC Po Box 394 Dyer IN 46311-0394 Ph: (708) 334-2352 | Kidanu Birhanu MD SC 24 Joliet St Suite 302 Dyer IN 46311-1705 Ph: (219) 852-2518 |
| NPI Number | 1619288339 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 06/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619288339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01066132A (Indiana) | Primary |
Sun Health Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 618 Shannon Brg, Dyer, IN 46311 Phone: 732-335-6515 Fax: 732-305-8026 |
Skin Cancer Care Center, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Main Street, Dyer, IN 46311 Phone: 219-934-2495 |
Community House Call Services LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Joliet St, Dyer, IN 46311 Phone: 844-546-8732 Fax: 708-529-2592 |
Informe HC Specialists, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Great Lakes Dr, Dyer, IN 46311 Phone: 219-322-3555 Fax: 888-724-0875 |
Gentile Healthcare , P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Suite 2e, Dyer, IN 46311 Phone: 219-865-9160 Fax: 219-865-9251 |
None Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Joliet St Ste 201, Dyer, IN 46311 Phone: 630-974-1400 Fax: 888-466-3320 |