Hailu, Tesfu
Hailu, Tesfu is an sole proprietor health care provider with primary practice located at 4909 N Glen Park Place Rd , Peoria IL 61614-4676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Hailu, Tesfu can be contacted via phone (309) 674-7546.Contact Information
Primary practice address
4909 N Glen Park Place Rd
Peoria IL 61614-4676
Phone: (309) 674-7546
Fax: (309) 691-9286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 036151973 | Illinois |
Profile Details
| NPI number | 1245490382 |
|---|---|
| LBN Legal business name | Hailu, Tesfu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2008 |
| Last updated | May 11th, 2020 - about 5 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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