Provider profile

Individual

Tesfu Hailu

Dermatology in Peoria, IL. NPI 1245490382, listed in the CMS NPI Registry since 06/12/2008. Bills Medicare.

NPI 1245490382Specialty DermatologyEnumerated 06/12/2008
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Registry and Medicare facts

Practice location
4909 N Glen Park Place Rd, Peoria, IL 61614
CMS NPI Registry
Phone
(309) 674-7546
CMS NPI Registry
Specialty
Dermatology
CMS NPI Registry
Subspecialty
Dermatopathology
CMS NPI Registry
Enumeration date
06/12/2008
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
4,896 Part B
CMS Medicare 2024

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