- Practice location
- 624 NE Glen Oak Avenue, Peoria, IL 61603
- Phone
- 309-655-4775
- Fax
- —
- Last updated
- April 1, 2022
Mahilet Fekadu Assefa is a Surgery based in Peoria, IL. Mahilet Fekadu Assefa practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Mahilet Fekadu Assefa is 1518607936 and holds a License No. 00000 (IL). The current practice location address for Mahilet Fekadu Assefa is 624 NE Glen Oak Avenue, Peoria, IL 61603 and can be reached out via phone at 309-655-4775.
Provider Profile Details
- NPI Number
- 1518607936
- Provider Name
- Mahilet Fekadu Assefa
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 624 NE Glen Oak Avenue, Peoria, IL 61603
- Phone Number
- 309-655-4775
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 1, 2022
- Last Update Date
- April 1, 2022
- Certification Date
- March 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 624 NE Glen Oak Avenue
Peoria, IL 61603 - City
- Peoria
- State
- Illinois
- Zip
- 61603
- Phone Number
- 309-655-4775
Provider Business Mailing Address Details
- Address
- 16 North Ave
Boston, MA 02119-3360 - City
- Boston
- State
- MA
- Zip
- 02119-3360
- Phone Number
- 617-372-2240
License Information
- License Number
- 00000
- License State
- IL
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mahilet F Assefa, MD?
The NPI number of Dr. Mahilet F Assefa, MD is 1518607936. It was assigned on April 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Mahilet F Assefa, MD?
Dr. Mahilet F Assefa, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in IL under license number 00000.
Where does Dr. Mahilet F Assefa, MD practice?
The practice location is 624 NE Glen Oak Avenue, Peoria, IL 61603. The office can be reached at 309-655-4775 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518607936 directly on the NPPES registry website.