BRUK MEKONEN
Student in an Organized Health Care Education/Training Program

Address: 5841 S Maryland Ave Mc1052, Chicago, IL 60637

BRUK MEKONEN (NPI# 1730760026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730760026
Entity Type Individual
Full Name BRUK MEKONEN
Gender Male
Credential MD
Practice Address 5841 S Maryland Ave Mc1052
Chicago
IL 60637
Mailing Address 180 Harvester Dr. Ste 110
Burr Ridge
IL 60527-6686
Mailing Telephone 7737021105
Certification Date 2021-04-19
Enumeration Date 2021-04-19
Last Update Date 2021-04-19
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 5841 S MARYLAND AVE MC1052
City CHICAGO
State IL
Zip Code 60637

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1558854695 Rasidat Adeduntan Internal Medicine 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 2018-06-13
1053899138 Won Hee Oh Physician Assistant - Surgical Technologist 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 2018-08-01
1558880633 Marni Harris Optometrist 5841 S Maryland Ave # S421, Chicago, IL 60637 2017-09-11
1780220079 Tara Coleman Non-emergency Medical Transport (VAN) 808 E. 63rd Street, Suite 135, Chicago, IL 60637 2019-11-21
1073040457 Athalia Rachel Pyzer Internal Medicine 5841 S. Maryland Avenue, M/C 7082, Chicago, IL 60637 2017-05-17
1992235105 Vidya Mahavadi Pediatrics 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 2017-06-20
1194235283 Melissa Ann Arangoa · Melissa Ann Grzybowski Registered Nurse 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 2017-10-03
1467983965 Allison Elizabeth Lapins Internal Medicine 5841 S Maryland Ave Rm S231, Chicago, IL 60637 2017-03-26
1366003501 Valerie Silas Case Management 6330 S King Drive, Chicago, IL 60637 2019-06-27
1891143152 Garth Nyambi Walker Emergency Medicine 5841 S. Maryland Avenue Mc5068, Chicago, IL 60637 2016-05-27
Find all in zip 60637

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy 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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427632140 Sue Bin Park 801 S Paulina St Rm 304g, Chicago, IL 60612-7210 2021-05-09
1003490194 Nicholas Rigler Student in an Organized Health Care Education/Training Program 600 S Paulina St Ste 403, Chicago, IL 60612-3806 2021-05-06
1033793195 Idanis Perez-Alvarez Student in an Organized Health Care Education/Training Program 1275 W Harrison St, Professional Building-Suite 425, Chicago, IL 60612 2021-05-05
1851974125 Kayla Schmittau Student in an Organized Health Care Education/Training Program 600 S Paulina St Ste 430, Chicago, IL 60612-3806 2021-05-04
1821671447 Erin Klukas Student in an Organized Health Care Education/Training Program 3241 S Michigan Ave # 373, Chicago, IL 60616-4201 2021-05-02
1518540285 Lisa Ann Rawle Student in an Organized Health Care Education/Training Program Uic Pediatric Dentistry Residency Rm 256d (mc 850), 801 S. Paulina St., Chicago, IL 60613 2021-04-30
1316520216 Francisco Schlottmann Pozzi Student in an Organized Health Care Education/Training Program 1740 W Taylor St., University of Illinois Hospital, Chicago, IL 60612 2021-04-29
1932782877 Benjamin Stoltenberg Student in an Organized Health Care Education/Training Program University of Illinois Hospital, 1740 W. Taylor Street, Chicago, IL 60612 2021-04-29
1104409168 Stella Lee Student in an Organized Health Care Education/Training Program 3057 W Cermak Rd, Chicago, IL 60623-3548 2021-04-28
1043892524 Jhonatan Marte Student in an Organized Health Care Education/Training Program 5841 S Maryland Ave # Mc3077, Chicago, IL 60637-1443 2021-04-24
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60637

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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.