MARJORIE MABONG NWOSU M.D.
NPI 1932164951
Pediatrics in Mount Vernon, IL

Q: What is Marjorie Nwosu's NPI number?

The NPI number for Marjorie Nwosu is 1932164951. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Marjorie Nwosu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marjorie Nwosu was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2006

3505 BROADWAY, MOUNT VERNON, IL 62864(618) 242-3495(618) 241-8775 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Marjorie Mabong Nwosu M.d. NPPES

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

MARJORIE MABONG NWOSU M.D. (NPI 1932164951) is an individual pediatrics provider in Mount Vernon, Illinois, licensed in Michigan (4301068282) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1932164951

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARJORIE MABONG NWOSUCredential: M.D.

Location Address3505 BROADWAYMount Vernon, IL 62864

Mailing Address2500 W Reynolds StPontiac, IL 61764-9774 · (815) 844-6551 · Fax (815) 842-1793

Phone(618) 242-3495

Fax(618) 241-8775

Sole ProprietorNo

Enumeration DateApril 20, 2006

Last NPPES UpdateMay 23, 2012

✔ NPI 1932164951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301068282

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.

3505 BROADWAY, Mount Vernon, IL 62864

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Other Identifiers 8

OtherP00792826Rr Individual #

Medicare UPING99953

Medicaid1932164951MI

Other833230Medicare Group #

OtherCA2182Rr Group #

Medicare PIN833230008

Other35-0-41-0927-2MI · Bcbs Pin

Medicare PINM53750045MI

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 Marjorie Nwosu's NPI number?

The NPI number for Marjorie Nwosu is 1932164951. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Marjorie Nwosu located?

Marjorie Nwosu practices at 3505 Broadway, Mount Vernon, IL 62864. The listed phone number is (618) 242-3495.

What is Marjorie Nwosu'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 Marjorie Nwosu was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.