Habtamu Tamiru Abebe, APRN
Nurse Practitioner, Family in Chicago, IL. Individual provider (NPI-1).
NPI number1649872367
StatusActive
Last updated in NPPESMar 28, 2025
Details
- NPI
- 1649872367
- Entity type
- Individual (NPI-1)
- Name
- Habtamu Tamiru Abebe
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2020
- Certification date
- Mar 28, 2025
- Last updated
- Mar 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209.022385 | IL | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 209.022385 | IL |
Practice location
1337 W Fargo Ave Apt 401Chicago, IL 60626-1854
Phone 773-431-2992
Mailing address
1337 W Fargo Ave Apt 401Chicago, IL 60626-1854
Phone 773-431-2992
Other practice locations
1740 W Taylor St
Chicago, IL 60612-7232
Chicago, IL 60612-7232
Phone 312-355-4000
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