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KIDANU BIRHANU MD SC
NPI 1619288339
Clinic/Center in Dyer, IN

Active since June 28, 2010
24 JOLIET ST, SUITE 302, DYER, IN 46311(219) 852-2518(219) 864-2156 Get Directions Write a Review

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kidanu Birhanu Md Sc NPPES

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

KIDANU BIRHANU MD SC (NPI 1619288339) is a healthcare organization registered as a clinic/center in Dyer, Indiana and active in the NPI registry since June 2010. The organization lists Kidanu Birhanu, Owner, as its authorized official.

NPPES Registry Identity

NPI1619288339
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKIDANU BIRHANU MD SC
Location Address24 JOLIET ST, SUITE 302Dyer, IN 46311-1705
Mailing AddressPo Box 394Dyer, IN 46311-0394 · (708) 334-2352
Phone(219) 852-2518
Fax(219) 864-2156
Organization SubpartNo
Authorized OfficialKidanu BirhanuOwner · (708) 334-2352
Enumeration DateJune 28, 2010
✔ NPI 1619288339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IN · 01066132A
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
24 JOLIET ST, Dyer, IN 46311
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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.

FRED ANTHONY LEPORE JR.
Emergency Medicine
24 JOLIET ST
DYER, IN 46311
Lake County (708) 895-9385
FRANCISCAN PHYSICIANS HOSPITAL, LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
24 JOLIET ST, SUITE 101
DYER, IN 46311
Lake County (219) 864-2059
GAIL LYNN NORTON-HALE LMFT,LCSW
Social Worker (Clinical)
24 JOLIET ST
DYER, IN 46311
Lake County (219) 322-5747
DR. BRIAN P JULA PSYD
Psychologist (Clinical)
24 JOLIET ST
DYER, IN 46311
Lake County (219) 322-5747
JEANNIE BORAM UR MD
Hospitalist
24 JOLIET ST
DYER, IN 46311
Lake County (219) 852-1524
CHRISTOPHER FRANCIS SHAHZAAD M.D.
Psychiatry & Neurology (Psychiatry)
24 JOLIET ST
DYER, IN 46311
Lake County (219) 322-5747
ESHWAR NAGRAJ MURTHY
Hospitalist
24 JOLIET ST
DYER, IN 46311
Lake County (219) 852-1524
KYSE OSSAMA ZORUB
Student in an Organized Health Care Education/Training Program
24 JOLIET ST
DYER, IN 46311
Lake County (708) 307-5098

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 Kidanu Birhanu MD Sc's NPI number?

The NPI number for Kidanu Birhanu MD Sc is 1619288339. It was assigned to this organization in the NPPES registry on June 28, 2010.

Where is Kidanu Birhanu MD Sc located?

Kidanu Birhanu MD Sc is located at 24 Joliet St Suite 302, Dyer, IN 46311. The listed phone number is (219) 852-2518.

What is Kidanu Birhanu MD Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kidanu Birhanu MD Sc was last updated on June 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.