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Prince Osazuwa Ehimamiegho, MD
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1497499719

Prince Osazuwa Ehimamiegho is a Student in an Organized Health Care Education/Training Program based in Elk Grove, IL. Prince Osazuwa Ehimamiegho practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Prince Osazuwa Ehimamiegho is 1497499719 and holds a License No. 0000000000 (Illinois).

The current practice location address for Prince Osazuwa Ehimamiegho is 815 Main St Ste C, Peoria, IL and can be reached out via phone at 309-672-4977.

Location: 815 Main St Ste C, Peoria, IL, 95624-4611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497499719
Provider Name
Prince Osazuwa Ehimamiegho
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
815 Main St Ste C, Peoria, IL, 95624-4611
Phone Number
309-672-4977
Fax Number
Provider Enumeration Date
04/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
815 Main St Ste C
City
Peoria
State
Illinois
Zip
61602-1080
Phone Number
309-672-4977
Fax Number
person
Provider Business Mailing Address Details
Address
815 Main St Ste C
City
Peoria
State
Illinois
Zip
61602-1080
Phone Number
309-672-4977
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0000000000 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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