Individual provider · Type 1 NPI

Solomon Yacob Berhanu

Student in an Organized Health Care Education/Training Program · Waukegan, IL

NPI number 1487178109 Active

Practice location

3004 Grand Ave
Waukegan, IL 60085-2321

Call (847) 377-8120 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487178109

Solomon Yacob Berhanu's National Provider Identifier is 1487178109, issued on Aug 3, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waukegan, IL. The record was last updated on Aug 3, 2017.