| Marjorie Mabong Nwosu, MD | |
|
3505 Broadway, Mount Vernon, IL 62864 | |
| (618) 242-3495 | |
| (618) 241-8775 |
| Full Name | Marjorie Mabong Nwosu |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3505 Broadway, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932164951 | NPI | - | NPPES |
| P00792826 | Other | RR INDIVIDUAL # | |
| 1932164951 | Medicaid | MI | |
| 833230 | Other | MEDICARE GROUP # | |
| 35-0-41-0927-2 | Other | MI | BCBS PIN |
| CA2182 | Other | RR GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301068282 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marjorie Mabong Nwosu, MD 2500 W Reynolds St, Pontiac, IL 61764-9774 Ph: (815) 844-6551 | Marjorie Mabong Nwosu, MD 3505 Broadway, Mount Vernon, IL 62864 Ph: (618) 242-3495 |
Dr. Neeta B Kaushal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4107 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-242-5437 | |
Hayley Harris Martins, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4103 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-899-3513 | |
Dr. Ahmed Sayed Youssef, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1007 S 42nd St Ste 1, Mount Vernon, IL 62864 Phone: 161-899-3040 | |
David L Deloso, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2920 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-244-6544 Fax: 618-244-6577 |