Individual provider · Type 1 NPI

Tsegaye Wesenseged Gebreamlak

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

NPI number 1861381444 Active

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Fax (708) 783-6567

Mailing address

3722 Harlem Ave
Riverside, IL 60546-2312

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125084739 (IL)
Internal Medicine Physician 207R00000X125.084739 (IL)

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 1861381444

Tsegaye Wesenseged Gebreamlak's National Provider Identifier is 1861381444, issued on Jun 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berwyn, IL. The record was last updated on Dec 10, 2025.