NPI 1245490382

Tesfu Hailu, MD

Practitioner Dermatopathology Physician Peoria, IL

Practice location

Address: 4909 N Glen Park Place Rd, Peoria, IL 61614-4676
Phone: (309) 674-7546
Fax: (309) 691-9286
Mailing address: 4909 N Glen Park Place Rd, Peoria, IL 61614-4689

Registered specialties

Dermatopathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 036151973 (IL)

Other Dermatology providers in Illinois →

Registry record

NPI: 1245490382
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2008
Record last updated: 11 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.