Individual provider · NPI-1

Beamlak Dejene Adamu

Internal Medicine · Berwyn, IL

NPI number1710875588
StatusActive
Last updated in NPPESJun 27, 2025

Details

NPI
1710875588
Entity type
Individual (NPI-1)
Name
Beamlak Dejene Adamu
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2025
Certification date
Jun 27, 2025
Last updated
Jun 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine125.085316ILYes

Practice location

3231 Euclid Ave
Berwyn, IL 60402-3471

Phone 464-245-8557

Mailing address

3415 Oak Park Ave
Berwyn, IL 60402-3623

Phone 464-245-8557

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