Solomon Teshale MD

NPI 1417156837 - Internal Medicine - 207R00000X

NPI Details
NPI 1417156837
Gender Male
Enumeration Date 07/16/2007
Last Updated 04/16/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
611 W PARK ST
URBANA IL, 61801-2500, US
Phone (217) 383-3311
Fax (217) 326-1550
Business Location
611 W. PARK ST.
BWPC
URBANA IL, 61801-2500, US
Phone (217) 383-6792
Fax (217) 326-1550
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125-053583
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According to our database, Solomon Teshale MD NPI is 1417156837, taxonomy code is 207R00000X and license number is 125-053583, license state is located at Illinois. Solomon Teshale MD physically located at 611 W Park St, Urbana IL, 61801-2500. NPI Number Solomon Teshale MD has the Individual type.

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1417156837 NPI number is provided on an as is basis without warranty of any kind. 1417156837 is maintained by the National Plan & Provider Enumeration System. The contents of Solomon Teshale MD are for informational purposes only.