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CARLINE MEKEM MBEUMO M.D.
NPI 1104268168
Pediatrics in Marion, IL

Active since July 18, 2013
3412 OFFICE PARK DRIVE, MARION, IL 62959(618) 993-0404(618) 993-1717 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carline Mekem Mbeumo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLINE MEKEM MBEUMO M.D. (NPI 1104268168) is an individual pediatrics provider in Marion, Illinois, licensed in Illinois (036140445) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1104268168
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCARLINE MEKEM MBEUMOCredential: M.D.
Location Address3412 OFFICE PARK DRIVEMarion, IL 62959
Mailing Address3412 Office Park DriveMarion, IL 62959 · (618) 993-0404 · Fax (618) 993-1717
Phone(618) 993-0404
Fax(618) 993-1717
Sole ProprietorNo
Enumeration DateJuly 18, 2013
Last NPPES UpdateNovember 7, 2016
✔ NPI 1104268168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036140445✔ Licensed in MI · 4301103909
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.

3412 OFFICE PARK DRIVE, Marion, IL 62959
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Other Identifiers 1

Medicaid036140445IL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHY A HERREN PA-C
Physician Assistant
3412 OFFICE PARK DRIVE
MARION, IL 62959
Williamson County (618) 993-0404
MR. PRADEEP GOPALA REDDY MD
Pediatrics
3412 OFFICE PARK DRIVE
MARION, IL 62959
Williamson County (618) 993-0404
MR. JEREMY PAUL GERWE M.D.
Pediatrics
3412 OFFICE PARK DRIVE
MARION, IL 62959
Williamson County (618) 993-0404
PEDIATRIC GROUP LLC
Clinic/Center (Rural Health)
3412 OFFICE PARK DRIVE
MARION, IL 62959
Williamson County (618) 993-0404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carline Mbeumo's NPI number?

The NPI number for Carline Mbeumo is 1104268168. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Carline Mbeumo located?

Carline Mbeumo practices at 3412 Office Park Drive, Marion, IL 62959. The listed phone number is (618) 993-0404.

What is Carline Mbeumo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Carline Mbeumo was last updated on November 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.