Individual
DR. MAHILET FEKADU ASSEFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
624 NE GLEN OAK AVENUE, PEORIA, IL 61603
(309) 655-4775
Mailing address
16 NORTH AVE, BOSTON, MA 02119-3360
(617) 372-2240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00000
IL
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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