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1184901449
SISAY BEKELE MERSHA
EVANSTON, IL
NPI
1184901449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209008680)
Enumeration Date
2011-11-14
Last Update Date
2011-11-29
Business Address
Mr. SISAY BEKELE MERSHA NP
355 RIDGE AVENUE
EVANSTON, IL 60202
Phone number: 847-316-4150
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Mailing Address
Mr. SISAY BEKELE MERSHA NP
6118 N SHERIDAN RD APT 104
CHICAGO, IL 60660-8800
Phone number: 773-338-2818
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