Individual ProviderZewdu HaileFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address135 N Oak St, Hinsdale, IL 60521-3860(630) 856-8900PECOS EnrollmentBased on the most recent information from CMS, provider Zewdu Haile is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1639150121Provider TypeIndividualFull NameHaile, ZewduCredentialMDGenderMaleSole ProprietorNoEnumeration Date11/10/2005Last Updated8/22/2023Contact InformationPractice LocationPractice Address135 N Oak St, Hinsdale, IL 60521-3860Phone(630) 856-8900FaxUnlisted FaxMailing LocationMailing Address135 N Oak St, Hinsdale, IL 60521-3860Phone(630) 856-8900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036091812IllinoisCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense036-091812IllinoisProvider IdentifiersIDDescriptionIssuerID821050DescriptionOtherIssuerMEDICARE GROUP PTANIllinois