Marjorie Mabong Nwosu in Pontiac - Pediatrics
Marjorie Mabong Nwosu - NPI 1932164951
Marjorie Mabong Nwosu is a Pediatrics in Pontiac, Illinois. Marjorie Mabong Nwosu practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marjorie Mabong Nwosu is 1932164951. The last update date is 2012-05-23.
Marjorie Mabong Nwosu's current location address is 2500 W Reynolds St, Pontiac, Illinois. You can contact this provider via phone number 8158446551 and fax number 8158421793. The mailing address for Marjorie Mabong Nwosu is 2500 W Reynolds St, Pontiac, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marjorie Mabong Nwosu |
|---|---|
| Address | 2500 W Reynolds St, Pontiac, Illinois |
| Phone Number | 8158446551 |
| Fax Number | 8158421793 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932164951 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2012-05-23 |
Provider Mailing Address Detail
| Address | 2500 W Reynolds St |
|---|---|
| City | Pontiac |
| State | Illinois (IL) |
| Post Code | 617649774 |
| Phone Number | 8158446551 |
| Fax Number | 8158421793 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 4301068282 |
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Definition: A pediatrician 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00792826 | RR INDIVIDUAL # | ||
| 1932164951 | MI | -- | |
| 833230 | MEDICARE GROUP # | ||
| 35-0-41-0927-2 | MI | BCBS PIN | |
| CA2182 | RR GROUP # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marjorie Mabong Nwosu?
The Marjorie Mabong Nwosu has been issued the NPI (National Provider Identifier) 1932164951 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Marjorie Mabong Nwosu is geographically located?
The Marjorie Mabong Nwosu is physically situated at the following location: 2500 W Reynolds St, Pontiac, IL, 617649774.
What is the Marjorie Mabong Nwosu's specialty and taxonomy code?
The Marjorie Mabong Nwosu's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932164951 to Marjorie Mabong Nwosu?
The Marjorie Mabong Nwosu received its 1932164951 assignment from the Centers for Medicare & Medicaid Services on 2006-04-20.
As of what date were the Marjorie Mabong Nwosu's details last updated?
The information pertaining to the Marjorie Mabong Nwosu, including its address, specialty, and other details, was most recently updated on 2012-05-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY