Assefa, Mahilet Fekadu

Assefa, Mahilet Fekadu is an sole proprietor health care provider with primary practice located at 624 Ne Glen Oak Avenue , Peoria IL 61603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Assefa, Mahilet Fekadu can be contacted via phone (309) 655-4775.

Contact Information

Primary practice address
624 Ne Glen Oak Avenue Peoria IL 61603
Phone: (309) 655-4775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 00000 Illinois

Profile Details

NPI number 1518607936
LBN Legal business name Assefa, Mahilet Fekadu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2022
Last updated Apr 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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