Meron Ferketa
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1639920895
StatusActive
Last updated in NPPESJun 24, 2024
Details
- NPI
- 1639920895
- Entity type
- Individual (NPI-1)
- Name
- Meron Ferketa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2024
- Certification date
- Jun 24, 2024
- Last updated
- Jun 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 125.084316 | IL | Yes |
Practice location
820 S Wood St Ste 100Chicago, IL 60612-4325
Phone 312-996-2933
Mailing address
820 S Wood St Ste 100Chicago, IL 60612-4325
Phone 312-996-2933
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