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Marjorie Mabong Nwosu, MD
Pediatrics Physician in Mount Vernon, Illinois
NPI 1932164951

Marjorie Mabong Nwosu is a Pediatrics Physician based in Pontiac, IL. Marjorie Mabong Nwosu practices in Mount Vernon, IL and has the professional credentials of MD. The NPI Number for Marjorie Mabong Nwosu is 1932164951 and holds a License No. 4301068282 (Illinois).

The current practice location address for Marjorie Mabong Nwosu is 3505 Broadway, Mount Vernon, IL and can be reached out via phone at 618-242-3495 and via fax at 618-241-8775. You can also correspond with Marjorie Mabong Nwosu through the mailing address at 2500 W REYNOLDS ST, PONTIAC, IL - 61764-9774 (mailing address contact number: 815-844-6551).

Location: 3505 Broadway, Mount Vernon, IL, 61764-9774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932164951
Provider Name
Marjorie Mabong Nwosu
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3505 Broadway, Mount Vernon, IL, 61764-9774
Phone Number
618-242-3495
Fax Number
618-241-8775
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00792826 01 RR INDIVIDUAL #
1932164951 05 MI
833230 01 MEDICARE GROUP #
35-0-41-0927-2 01 MI BCBS PIN
CA2182 01 RR GROUP #
institution
Provider Business Practice Location Address Details
Address
3505 Broadway
City
Mount Vernon
State
Illinois
Zip
62864
Phone Number
618-242-3495
Fax Number
618-241-8775
person
Provider Business Mailing Address Details
Address
2500 W Reynolds St
City
Pontiac
State
Illinois
Zip
61764-9774
Phone Number
815-844-6551
Fax Number
815-842-1793
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
4301068282 (Michigan)
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 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.
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