Individual provider · Type 1 NPI

Prince Osazuwa Ehimamiegho, MD

Family Medicine Physician · Peoria, IL

NPI number 1497499719 Active

Practice location

815 Main St Ste C
Peoria, IL 61602-1080

Call (309) 672-4977 Map

Mailing address

9466 Mourverde Ct
Elk Grove, CA 95624-4611

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XA202757 (CA)
Family Medicine Physician 207Q00000X036172524 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1497499719

Prince Osazuwa Ehimamiegho, MD's National Provider Identifier is 1497499719, issued on Apr 22, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Peoria, IL. The record was last updated on Nov 14, 2025.