Midwest Dermpath LLC
Midwest Dermpath LLC is a Dermatopathology (Pathology) Physician in Bartonville, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
409 Keller StBartonville, IL 61607-2556
Phone: (309) 404-6583
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatopathology (Pathology) Physician (primary) | Taxonomy 207ZD0900X |
|---|---|
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X |
Record details
| NPI number | 1194591529 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tesfu Hailu — Lab Director · (309) 404-6583 |
| NPI enumerated | November 27, 2023 |
| Last updated in NPPES | January 31, 2024 |
| Certification date | January 31, 2024 |
| Mailing address | 409 Keller St, Bartonville, IL 61607-2556 |