IndividualActive
Adebimpe Erebholo, NP
NPI 1982214144 · Nurse Practitioner · East Peoria, IL
Provider details
- NPI number
- 1982214144
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 041434445 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
3300 N Main St
East Peoria, IL 61611-1562
Phone: (309) 698-8300
Fax: (309) 698-8303
Approximate (ZIP-level) locationGet directions
Mailing address
3300 N Main St
East Peoria, IL 61611-1562
Registry dates
- Enumerated
- 2020-08-03
- Last updated
- 2020-09-17
- Certified
- 2020-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.