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AMANUEL PAULOS GENEBO
NPI 1366331118
Student in an Organized Health Care Education/Training Program in Berwyn, IL

Active since June 28, 2025PECOS Enrolled
3231 EUCLID AVE, BERWYN, IL 60402(708) 783-3401 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 10, 2025, Jun 28, 2025 (2 updates tracked since 2025).

About Amanuel Paulos Genebo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANUEL PAULOS GENEBO (NPI 1366331118) is an individual student in an organized health care education/training program in Berwyn, Illinois, licensed in Illinois (125085940) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366331118
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAMANUEL PAULOS GENEBO
Location Address3231 EUCLID AVEBerwyn, IL 60402-3471
Mailing Address3231 Euclid Ave Ste 203Berwyn, IL 60402-6700 · (708) 783-3401
Phone(708) 783-3401
Sole ProprietorNo
Enumeration DateJune 28, 2025
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1366331118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 125085940
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 12.085940 (IL)
3231 EUCLID AVE, Berwyn, IL 60402
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanuel Paulos Genebo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REKIK ABEBE DEGEF
Internal Medicine
3231 EUCLID AVE
BERWYN, IL 60402
Cook County (708) 783-3401
NEREIDA ESPARZA M.D.
Family Medicine
3231 EUCLID AVE, 5TH FLOOR
BERWYN, IL 60402
Cook County (708) 783-2000
DR. ROBERT C LICHTENBERG M.D.
Internal Medicine (Cardiovascular Disease)
3231 EUCLID AVE, SUITE 201
BERWYN, IL 60402
Cook County (708) 783-2055
DR. MARK L GOODE M.D.
Internal Medicine (Pulmonary Disease)
3231 EUCLID AVE, SUITE 405
BERWYN, IL 60402
Cook County (708) 783-2644
MR. JOHN D BROFMAN M.D.
Internal Medicine (Pulmonary Disease)
3231 EUCLID AVE
BERWYN, IL 60402
Cook County (815) 463-8994
URVI ZALA
Internal Medicine
3231 EUCLID AVE
BERWYN, IL 60402
Cook County (708) 783-3401
SEJAL A THAKER M.D.
Internal Medicine (Pulmonary Disease)
3231 EUCLID AVE, SUITE 405
BERWYN, IL 60402
Cook County (708) 783-2644
L. MEDICINE LABS, LLC
Clinical Medical Laboratory
3231 EUCLID AVE
BERWYN, IL 60402
Cook County (708) 783-0737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanuel Genebo's NPI number?

The NPI number for Amanuel Genebo is 1366331118. It was assigned to this individual provider in the NPPES registry on June 28, 2025.

Where is Amanuel Genebo located?

Amanuel Genebo practices at 3231 Euclid Ave, Berwyn, IL 60402. The listed phone number is (708) 783-3401.

What is Amanuel Genebo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanuel Genebo enrolled in Medicare?

Yes. Amanuel Genebo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanuel Genebo was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.