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Contact Information

ALEMAYEHU ALEX M GEBRESELLASSIE, MLT
845 N MICHIGAN AVE STE 944E
CHICAGO, IL60611-2213
 Phone: 312-202-0328
 Fax: 312-202-0320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Laboratory

246RM2200X
Indicates primary specialty

NPI Profile & details for ALEMAYEHU ALEX M GEBRESELLASSIE · (Male)

NPI # 1588962609
Status Active
Credentials MLT
Entity Individual
Enumeration date 03/14/2011
Last updated 03/14/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 14D2018991
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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