| 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 |
| Remove 1417156837 NPI Number | |
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.
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