Muata, Mensa Kamaugogo

Muata, Mensa Kamaugogo is an individual health care provider with primary practice located at 750 Almar Pkwy Suite 205, Bourbonnais IL 60914-2315. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Muata, Mensa Kamaugogo can be contacted via phone (815) 933-3955.

Contact Information

Primary practice address
750 Almar Pkwy Suite 205 Bourbonnais IL 60914-2315
Phone: (815) 933-3955
Fax: (815) 933-3944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X Illinois

Profile Details

NPI number 1659586477
LBN Legal business name Muata, Mensa Kamaugogo
Credentials RSA
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers