ADDIS MEKONNEN

ROCKFORD, IL
NPI1457001562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-24
Last Update Date2022-03-24
Business Address
ADDIS MEKONNEN
2400 N ROCKTON AVE
ROCKFORD, IL 61103-3655
Phone number: 815-971-6364
Mailing Address
ADDIS MEKONNEN
1111 S LAFLIN ST APT 714
CHICAGO, IL 60607-4654
Phone number: 312-723-2582