Individual
DR. SAMUEL Y TESFAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 N STATE ST, 17G, CHICAGO, IL 60610-8665
(312) 335-1609
Mailing address
850 N STATE ST, 17G, CHICAGO, IL 60610-8665
(312) 335-1609
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36111625
IL
Other
Enumeration date
07/12/2007
Last updated
02/11/2022
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