Individual provider · Type 1 NPI
Onyeisi Stephen Ogbomeh, DNP, APRN-FPA, FNP-BC
Family Nurse Practitioner · Lake Villa, IL
NPI number
1306480025
Active
Practice location
25111 W Warren Ave
Lake Villa, IL 60046-9741
Mailing address
206 Cedar Ave
Lake Villa, IL 60046-4600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 277003639 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209020388 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1306480025
Onyeisi Stephen Ogbomeh, DNP, APRN-FPA, FNP-BC's National Provider Identifier is 1306480025, issued on Nov 6, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Villa, IL. The record was last updated on Oct 5, 2026.