Individual
PETER EGWOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 N MISSOURI AVE, PEORIA, IL 61603-3105
(309) 308-3800
(309) 623-2330
Mailing address
10 CENTER DR BLDG 10, BETHESDA, MD 20892-0001
(202) 412-1982
(240) 541-4546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020020069
MO
207R00000X
Internal Medicine Physician
MD210011536
MD
207RX0202X
Medical Oncology Physician
Primary
036180445
IL
Other
Enumeration date
07/06/2020
Last updated
06/10/2026
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