MR. ALEMAYEHU (ALEX) M GEBRESELLASSIE (NPI# 1588962609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588962609 |
| Entity Type | Individual |
| Full Name | MR. ALEMAYEHU (ALEX) M GEBRESELLASSIE |
| Credential | MLT |
| Practice Address |
845 N Michigan Ave Ste 944e Chicago IL 60611-2213 |
| Practice Telephone | 3122020328 |
| Practice Fax Number | 3122020320 |
| Mailing Telephone | 3122020328 |
| Mailing Fax Number | 3122020320 |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
14D2018991 | IL | Technologists, Technicians & Other Technical Service Providers |
| N | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
14D2018991 | IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
845 N MICHIGAN AVE STE 944E |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346530201 | Impala Express Clinical Laboratory Service Inc | Clinical Medical Laboratory | 845 N Michigan Ave Ste 944e, 845 N. Michigan Ave, Suite # 944-e, Chicago, IL 60611-2213 | 2011-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522457 | Laura Dominguez | Technician, Pathology | 400 Lillian Ln, Des Plaines, IL 60016-2518 | 2020-09-12 |
| 1659998599 | Ootw, Inc. | Technician, Pathology | 6449 Dempster St, Morton Grove, IL 60053-2604 | 2020-06-26 |
| 1417234964 | West Suburban Laboratories | Technician, Pathology | 715 Saint Charles Rd, Glen Ellyn, IL 60137-3621 | 2011-11-11 |
| 1467775353 | Cassandra Ruth Garffie | Technician, Pathology | 5800 Old Alton Rd., Granite City, IL 62040-7121 | 2010-03-05 |
| 1063536027 | Paula Huffman | Technician, Pathology | 28835 N Herky Dr Ste 102, Lake Bluff, IL 60044-1465 | 2007-03-16 |
| 1891252268 | George Kouriabalis | Technician, Pathology | 9024 N Milwaukee Ave, Niles, IL 60714-1537 | 2019-02-21 |
| 1184081374 | Ken Gray Company Inc. | Technician, Pathology | 451 Mallview Ln, Bolingbrook, IL 60440-2974 | 2016-01-20 |
| 1841314804 | Medco Service Organization | Technician, Pathology | 28835 N Herky Dr Ste 102, Lake Bluff, IL 60044-1465 | 2007-03-16 |
Please comment or provide details below to improve the information on MR. ALEMAYEHU (ALEX) M GEBRESELLASSIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.