Individual provider · Type 1 NPI

Bruk Mekonen, MD

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

NPI number 1730760026 Active

Practice location

5841 S Maryland Ave MC1052
Chicago, IL 60637

Map

Mailing address

180 Harvester Dr. Ste 110
Burr Ridge, IL 60527-6686

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 1730760026

Bruk Mekonen, MD's National Provider Identifier is 1730760026, issued on Apr 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 19, 2021.