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MARIO L GOSPODINOFF M.D.
NPI 1942285572
Psychiatry & Neurology - Psychiatry in Marion, IL

Active since December 07, 2005
1301 ENTERPRISE WAY, MARION, IL 62959(618) 993-1122 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mario L Gospodinoff M.d. NPPES

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

MARIO L GOSPODINOFF M.D. (NPI 1942285572) is an individual psychiatry provider in Marion, Illinois, licensed in Illinois (036040279) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1942285572
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARIO L GOSPODINOFFCredential: M.D.
Location Address1301 ENTERPRISE WAYMarion, IL 62959-4442
Mailing Address1301 Enterprise WayMarion, IL 62959-4442 · (618) 993-1122
Phone(618) 993-1122
Sole ProprietorYes
Enumeration DateDecember 7, 2005
Last NPPES UpdateApril 20, 2011
✔ NPI 1942285572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036040279
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1301 ENTERPRISE WAY, Marion, IL 62959
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Other Identifiers 5

Medicare UPINE36986IL
Medicaid036040279IL
Medicaid370966854011IL
Medicare ID-Type UnspecifiedK05556IL
Medicare OSCAR/certification141967IL

Other Providers at the Same Location NPPES 3

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

SONJA COMER L.C.S.W., C.A.D.C.
Social Worker (Clinical)
1301 ENTERPRISE WAY, SUITE 68
MARION, IL 62959
Williamson County (618) 997-5311
MS. KATHERINE JANE CLOVER LCSW
Social Worker (Clinical)
1301 ENTERPRISE WAY, SUITE 68
MARION, IL 62959
Williamson County (618) 997-5311
MRS. KAREN K SPILMAN L.C.S.W.
Social Worker (Clinical)
1301 ENTERPRISE WAY
MARION, IL 62959
Williamson County (618) 997-5311

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 Mario Gospodinoff's NPI number?

The NPI number for Mario Gospodinoff is 1942285572. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Mario Gospodinoff located?

Mario Gospodinoff practices at 1301 Enterprise Way, Marion, IL 62959. The listed phone number is (618) 993-1122.

What is Mario Gospodinoff's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Mario Gospodinoff was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.