Miteku Tezera Desalgne
Nurse Practitioner (Family)

Address: 1412 W Sherwin Ave Unit B, Chicago, IL 60626-2294
Phone: 7736539790

Miteku Tezera Desalgne (NPI# 1164028296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1164028296
Entity Type Individual
Full Name Miteku Tezera Desalgne
Credential NP
Gender Male
Practice Address 1412 W Sherwin Ave Unit B
Chicago
IL 60626-2294
Practice Telephone 7736539790
Mailing Address 1412 W Sherwin Ave Unit B
Chicago
IL 60626-2294
Mailing Telephone 7736539790
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-12-04
Last Update Date 2020-12-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 209022406 IL

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265036164 Debbie Chagoya Nurse Practitioner 5133 W Wilson Ave, Chicago, IL 60630-3905 2020-11-23
1003418138 Megan Deedrich Nurse Practitioner 849 N Franklin St Unit 511, Chicago, IL 60610-8474 2020-11-13
1609478908 Haley Decero Nurse Practitioner 2354 W George St, Chicago, IL 60618-7942 2020-11-11
1053913566 Natalija Tosanic Nurse Practitioner 5010 N Mango Ave, Chicago, IL 60630-4609 2020-11-10
1649872367 Habtamu Tamiru Abebe Nurse Practitioner 1337 W Fargo Ave Apt 401, Chicago, IL 60626-1854 2020-11-09
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
Find all providers in CHICAGO

Office Location

Street Address 1412 W SHERWIN AVE UNIT B
City CHICAGO
State IL
Zip Code 60626-2294

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972116390 Rebecca Powers Physical Therapist 1214 West Loyola Court, Chicago, IL 60626 2020-08-25
1699307918 Trilogy, Inc. Clinic/Center 1763 W. Estes Avenue, Chicago, IL 60626 2020-02-05
1134617236 Trilogy Inc. Clinic/Center 7474 N Paulina St, Chicago, IL 60626 2018-04-25
1891203477 Natalie Cerda Specialist/Technologist 6526 North Winthrop, Chicago, IL 60626 2018-01-17
1841709136 Jennifer Browse Speech-Language Pathologist 7101 N. Greenview, Chicago, IL 60626 2017-09-29
1922526292 Bill Johnson Psychologist 1712 W Estes Avenue Unit 109, Chicago, IL 60626 2017-09-06
1326580333 Zackary Charles Davis Specialist/Technologist 6526 N. Winthrop Avenue, Chicago, IL 60626 2016-11-08
1053772913 Devon Migues Counselor 6710 N Hermitage Ave, 1, Chicago, IL 60626 2016-03-18
1457718124 Carol L. Marshall Social Worker 7231 1/2 N. Sheridan Rd, Chicago, IL 60626 2016-01-26
1972948206 Donna Darcell Smith Counselor 1401 West Jarvis Ave., #2e, Chicago, IL 60626 2013-04-30
Find all providers in zip 60626

Competitor

Search similar providers

City CHICAGO
Zip Code 60626

Improve Information

Please provide details on Miteku Tezera Desalgne by submitting the form below, or post on facebook comments.

Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.