Organization
MARIUS O MOKWE MD.SC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIUS OBIESIE MOKWE MD (DIRECTOR)
(847) 695-7320
Entity
Organization
Contact information
Practice address
901 CENTER ST, SUITE 203, ELGIN, IL 60120-2104
(847) 695-7320
(847) 695-7732
Mailing address
901 CENTER ST, SUITE 203, ELGIN, IL 60120-2104
(847) 695-7320
(847) 695-7732
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
036094619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004525452
BLUE CROSS BLUE SHEILD
IL
05
—
036094619
—
IL
01
—
110221774
PALMETO GBO
IL
01
—
12121881
ONE HEALTH PLAN
IL
01
—
7953002
AETNA
IL
Enumeration date
08/30/2010
Last updated
08/30/2010
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