MUBANGU MADO MANDAMUNA

CHAMPAIGN, IL
NPI1588333033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209023791)
Additional Taxonomies207QH0002X Family Medicine, Hospice and Palliative Medicine
(Licence: IL  209023791)
Enumeration Date2021-09-08
Last Update Date2022-12-29
Business Address
MUBANGU MADO MANDAMUNA
201 N RANDOLPH ST
CHAMPAIGN, IL 61820-3935
Phone number: 877-726-6494
Mailing Address
MUBANGU MADO MANDAMUNA
3723 SUMMER SAGE CT
CHAMPAIGN, IL 61822-1907
Phone number: