Individual
MEBEA AKLILU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 W WELLINGTON AVE, CHICAGO, IL 60657-6708
(773) 296-7248
Mailing address
701 LEE ST, SUITE 300, DES PLAINES, IL 60016-4539
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
2004-00793
NC
207RX0202X
Medical Oncology Physician
Primary
036-110116
IL
207RX0202X
Medical Oncology Physician
2004-00793
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10098114
—
VA
01
—
137G7
BCBS
—
05
—
3810000695
—
WV
01
—
7884652
AETNA
—
01
—
804595
PARTNERS
—
05
—
89137G7
—
NC
01
—
D6160
MEDCOST
—
05
—
Q0079F
—
SC
Enumeration date
11/30/2005
Last updated
12/17/2021
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