Addis Mekonnen is a student in an organized health care education training program in Rockford, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Addis Mekonnen NPI is 1457001562. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2400 N ROCKTON AVE
ROCKFORD, IL
ZIP 61103-655
Phone: (815) 971-6364
The enumeration date for this NPI number is 3/24/2022 and was last updated on 3/24/2022.