Mandamuna, Mubangu Mado

Mandamuna, Mubangu Mado is an individual health care provider with primary practice located at 201 N Randolph St , Champaign IL 61820-3935. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mandamuna, Mubangu Mado can be contacted via phone (877) 726-6494.

Contact Information

Primary practice address
201 N Randolph St Champaign IL 61820-3935
Phone: (877) 726-6494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 209023791 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209023791 Illinois

Profile Details

NPI number 1588333033
LBN Legal business name Mandamuna, Mubangu Mado
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2021
Last updated Dec 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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