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Solomon Yacob Berhanu
Student in an Organized Health Care Education/Training Program in Waukegan, Illinois
NPI 1487178109

Solomon Yacob Berhanu is a Student in an Organized Health Care Education/Training Program based in Waukegan, IL. Solomon Yacob Berhanu practices in Waukegan, IL. The NPI Number for Solomon Yacob Berhanu is 1487178109 and holds a License No. (Illinois).

The current practice location address for Solomon Yacob Berhanu is 3004 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-8120.

Location: 3004 Grand Ave, Waukegan, IL, 60085-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487178109
Provider Name
Solomon Yacob Berhanu
Credential
Provider Entity Type
Individual
Gender
Male
Address
3004 Grand Ave, Waukegan, IL, 60085-2321
Phone Number
847-377-8120
Fax Number
Provider Enumeration Date
08/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3004 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8120
Fax Number
person
Provider Business Mailing Address Details
Address
3004 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8120
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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