Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TESFU HAILU, MD
Active Sole ProprietorDR. TESFU HAILU, MD is a Dermatopathology healthcare provider located in PEORIA, Illinois. NPI 1245490382 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · PEORIA, IL
Registration Details
- NPI Number
- 1245490382
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2008 (18.183317750855 yrs)
- Last Updated
- May 11, 2020
- License
-
036151973 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4909 N GLEN PARK PLACE RDPEORIA, IL, 616144676Browse IL providers · Browse ZIP 61614
- Phone
- 3096747546
- Fax
- 3096919286
- Primary Specialty
-
Dermatopathology
207ND0900X
Other Dermatopathology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CARL WILLIAM SODERSTROM JR. | M.D. | 1053370759 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.