person
Addis Mekonnen
Student in an Organized Health Care Education/Training Program in Rockford, Illinois
NPI 1457001562

Addis Mekonnen is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Addis Mekonnen practices in Rockford, IL. The NPI Number for Addis Mekonnen is 1457001562 and holds a License No. (Illinois).

The current practice location address for Addis Mekonnen is 2400 N Rockton Ave, Rockford, IL and can be reached out via phone at 815-971-6364.

Location: 2400 N Rockton Ave, Rockford, IL, 60607-4654
person
Provider Profile Details
NPI Number
1457001562
Provider Name
Addis Mekonnen
Credential
Provider Entity Type
Individual
Gender
Male
Address
2400 N Rockton Ave, Rockford, IL, 60607-4654
Phone Number
815-971-6364
Fax Number
Provider Enumeration Date
03/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2400 N Rockton Ave
City
State
Zip
61103-3655
Phone Number
815-971-6364
Fax Number
person
Provider Business Mailing Address Details
Address
2400 N Rockton Ave
City
State
Zip
61103-3655
Phone Number
815-971-6364
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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