MEDICARE: DR. BEKURE BEWKET SIRAW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036173022	IL

General Provider Information

NPI Number	:	1477202620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEKURE BEWKET SIRAW MD

Provider Business Mailing Address
First Line	:	221 NE GLEN OAK AVE
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61636-0001
Country	:	US
Telephone Number	:	309-672-5729
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 N LAKE SHORE DR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5640
Country	:	US
Telephone Number	:	773-665-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	04/16/2026

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