Marjorie Mabong Nwosu
M.D. | Pediatrics | Female
Marjorie Mabong Nwosu, M.D. is a Mount Vernon, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Marjorie Mabong Nwosu is
3505 Broadway, Mount Vernon, Illinois - 62864. She can be contacted on phone at
618-242-3495 and fax number 618-241-8775.
Marjorie Mabong Nwosu is a sole proprietor of her business.
NPI number (Unique professional ID) for Marjorie Mabong Nwosu is
1932164951 which was assigned by NPPES on 20 Apr, 2006 and it was last updated on 23 May, 2012.
Marjorie Mabong Nwosu license number is
4301068282 for Pediatrics (208000000X) in Michigan.
Marjorie Mabong Nwosu is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Marjorie Mabong Nwosu basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Marjorie Mabong Nwosu |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Marjorie Mabong Nwosu address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3505 Broadway
Mount Vernon, IL, 62864
United States |
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| Phone Number : | 618-242-3495 |
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| Fax Number : | 618-241-8775 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932164951 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Apr, 2006 |
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| Last Updated On : | 23 May, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marjorie Mabong Nwosu are as mentioned. Primary taxonomy code for Marjorie Mabong Nwosu, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301068282 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Marjorie Mabong Nwosu such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 833230 | Other | | MEDICARE GROUP # |
| 1932164951 | MEDICAID | MI | |
| CA2182 | Other | | RR GROUP # |
| P00792826 | Other | | RR INDIVIDUAL # |
| 35-0-41-0927-2 | Other | MI | BCBS PIN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 W Reynolds St
Pontiac, IL, 61764-9774
United States |
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| Phone Number : | 815-844-6551 |
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| Fax Number : | 815-842-1793 |
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Business Location:
Patients can refer following map for directions to
Marjorie Mabong Nwosu practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.