Healthcare Provider Details

I. General information

NPI: 1861357279
Provider Name (Legal Business Name): TEMESGEN YOHANNES ADINO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 WILMOT RD # 2002
DEERFIELD IL
60015-5145
US

IV. Provider business mailing address

4040 N CICERO AVE
CHICAGO IL
60641-1807
US

V. Phone/Fax

Practice location:
  • Phone: 847-315-2500
  • Fax:
Mailing address:
  • Phone: 773-283-5321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051307765
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: