Individual
HABTAMU TAMIRU ABEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1337 W FARGO AVE APT 401, CHICAGO, IL 60626-1854
(773) 431-2992
Mailing address
1337 W FARGO AVE APT 401, CHICAGO, IL 60626-1854
(773) 431-2992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.022385
IL
363LP2300X
Primary Care Nurse Practitioner
209.022385
IL
Other
Enumeration date
11/09/2020
Last updated
03/28/2025
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