IndividualActive
Tesfu Hailu, MD
NPI 1245490382 · Dermatopathology Physician · Peoria, IL
Provider details
- NPI number
- 1245490382
- Entity type
- Individual
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036151973 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone: (309) 674-7546
Fax: (309) 691-9286
Approximate (ZIP-level) locationGet directions
Mailing address
4909 N Glen Park Place Rd
Peoria, IL 61614-4689
Registry dates
- Enumerated
- 2008-06-12
- Last updated
- 2020-05-11
- Certified
- 2020-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.