Individual ProviderAbraham BerhaneEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1901 W Harrison St, Chicago, IL 60612-3714(312) 864-6000(707) 326-6104PECOS EnrollmentBased on the most recent information from CMS, provider Abraham Berhane is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 6:04 PM.Profile DetailsProvider ID1508271446Provider TypeIndividualFull NameBerhane, AbrahamCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/30/2014Last Updated6/30/2014Contact InformationPractice LocationPractice Address1901 W Harrison St, Chicago, IL 60612-3714Phone(312) 864-6000FaxUnlisted FaxMailing LocationMailing Address5588 N Lincoln Ave Apt 410, Chicago, IL 60625-7478Phone(707) 326-6104FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense125065970Illinois