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Midwest Dermpath LLC

Dermatopathology (Pathology) Physician in Bartonville, IL · enumerated 2023 · authorized official Tesfu Hailu, Lab Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194591529

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Registry record

Entity type Organization (Type 2)
Legal business name Midwest Dermpath LLC
Practice address 409 Keller St, Bartonville, IL, 61607
Enumeration date Nov 27, 2023
Last updated in NPPES Jan 31, 2024

Taxonomy & classification

207ZD0900X Dermatopathology (Pathology) Physician Allopathic & Osteopathic Physicians Primary
207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Tesfu Hailu
Title Lab Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Midwest Dermpath LLC?
Midwest Dermpath LLC is registered in NPPES as a Dermatopathology (Pathology) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-31.