Individual
DR. DEREJE KETEMA BELAYNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 E HURON ST, GALTER 3-150, CHICAGO, IL 60611-2908
(312) 926-2253
(312) 926-6905
Mailing address
77 W HURON ST, APT# 1610, CHICAGO, IL 60654-2852
(617) 849-0757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125058002
IL
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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