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Search › Illinois › Psychiatric/Mental Health Nurse Practitioner

Samson Omowumi

NPI 1457181877 · on the registry since 2024 · sole proprietor

Practice

Address
5401 N Knoxville Ave
Peoria, IL 61614
Phone
(614) 816-7589
Organisation at this address
Patti L Ally
C E Myers Md
Frank I Russo
Champion Fitness, Inc
Proctor Health Systems
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois