Erebholo, Adebimpe Favour
Erebholo, Adebimpe Favour is an individual health care provider with primary practice located at 3300 N Main St , East Peoria IL 61611-1562. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Nephrology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Erebholo, Adebimpe Favour can be contacted via phone (309) 698-8300.Contact Information
Primary practice address
3300 N Main St
East Peoria IL 61611-1562
Phone: (309) 698-8300
Fax: (309) 698-8303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Nephrology | 163WN0300X | 041434445 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209022026 | Illinois |
Profile Details
| NPI number | 1982214144 |
|---|---|
| LBN Legal business name | Erebholo, Adebimpe Favour |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2020 |
| Last updated | Sep 17th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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