Individual
MR. SISAY BEKELE MERSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
355 RIDGE AVENUE, EVANSTON, IL 60202
(847) 316-4150
Mailing address
6118 N SHERIDAN RD APT 104, CHICAGO, IL 60660-8800
(773) 338-2818
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
277000107
IL
Other
Enumeration date
11/14/2011
Last updated
03/06/2025
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