Individual
GIRMA BALCHA ASSEFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 W 162ND ST, SOUTH HOLLAND, IL 60473-2003
(708) 730-2200
(708) 210-0636
Mailing address
2311 W 22ND ST, SUITE 202, OAK BROOK, IL 60523-1225
(630) 320-1160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-078388
IL
Other
Enumeration date
06/26/2006
Last updated
12/18/2021
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