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BRUK MEKONEN MD
NPI 1730760026
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 19, 2021
5841 S MARYLAND AVE MC1052, CHICAGO, IL 60637 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruk Mekonen Md NPPES

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

BRUK MEKONEN MD (NPI 1730760026) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1730760026
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRUK MEKONENCredential: MD
Location Address5841 S MARYLAND AVE MC1052Chicago, IL 60637
Mailing Address180 Harvester Dr. Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1105
Sole ProprietorNo
Enumeration DateApril 19, 2021
NPPES CertifiedApril 19, 2021
✔ NPI 1730760026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
5841 S MARYLAND AVE MC1052, Chicago, IL 60637
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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 Bruk Mekonen's NPI number?

The NPI number for Bruk Mekonen is 1730760026. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Bruk Mekonen located?

Bruk Mekonen practices at 5841 S Maryland Ave Mc1052, Chicago, IL 60637.

What is Bruk Mekonen's specialty?

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

When was this NPI record last updated?

The NPPES record for Bruk Mekonen was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.