Individual
DR. EGHE EGIEBOR
Active
Individual
DR. EGHE EGIEBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036112265
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207079
BLUE SHIELD
IN
01
—
000000225575
BLUE SHIELD
IN
01
—
000000240785
BLUE SHIELD
IN
05
—
200244860
—
IN
01
—
3932056
BLUE SHIELD
IL
Enumeration date
12/29/2005
Last updated
08/22/2023
Update your record
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