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1184945750
DEREJE KETEMA BELAYNEH
CHICAGO, IL
NPI
1184945750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125058002)
Enumeration Date
2010-06-18
Last Update Date
2010-06-18
Business Address
Dr. DEREJE KETEMA BELAYNEH
251 E HURON ST GALTER 3-150
CHICAGO, IL 60611-2908
Phone number: 312-926-2253
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Mailing Address
Dr. DEREJE KETEMA BELAYNEH
77 W HURON ST APT# 1610
CHICAGO, IL 60654-2852
Phone number: 617-849-0757
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