Individual
REDIET KOKEBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 S MICHIGAN AVE, FAMILY HEALTH CENTER, CHICAGO, IL 60616-2333
(312) 567-2000
(312) 567-6156
Mailing address
2525 S MICHIGAN AVE, B-522, CHICAGO, IL 60616-2333
(312) 567-2000
(312) 567-6156
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036116844
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BSBCIL
IL
05
—
036116844
—
IL
01
—
336085525
CCS
IL
01
—
950150
MEDICARE GROUP
IL
Enumeration date
10/29/2009
Last updated
02/16/2010
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