Individual
ASMAMAW KASSIE BEYENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2128
Mailing address
2220 COLLEGE RD, DOWNERS GROVE, IL 60516-1033
(630) 297-8376
(312) 491-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03119662
IL
Other
Enumeration date
04/07/2007
Last updated
11/05/2020
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