Individual
EPHREM MELESSE GEBREMEDHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1406 W DEVON AVE, CHICAGO, IL 60660-1312
(773) 856-0944
(773) 856-0954
Mailing address
1406 W DEVON AVE, CHICAGO, IL 60660-1312
(773) 856-0944
(773) 856-0954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822456163001
—
IL
Enumeration date
10/31/2018
Last updated
10/31/2018
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