Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Habtemariam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104678093

Michael Habtemariam is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1740 W Taylor St
Chicago, IL 60612-7232
Phone: (312) 996-2933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125084604 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104678093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESNovember 27, 2024
Certification dateOctober 29, 2024

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