KIDANU BIRHANU MD SC

DYER, IN
NPI1619288339
Entity TypeOrganization
Authorized ContactKIDANU BIRHANU
Owner
708-334-2352
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: IN  01066132A)
Enumeration Date2010-06-28
Last Update Date2010-06-28
Business Address
KIDANU BIRHANU MD SC
24 JOLIET ST SUITE 302
DYER, IN 46311-1705
Phone number: 219-852-2518
Mailing Address
KIDANU BIRHANU MD SC
PO BOX 394
DYER, IN 46311-0394
Phone number: 708-334-2352