Individual
DR. NASIRUDDIN MANSURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK STREET, NEONALOGY, URBANA, IL 61801-2500
(217) 383-3395
(217) 383-3463
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036111882
IL
208000000X
Pediatrics Physician
036111882
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
036111882
IL
208M00000X
Hospitalist Physician
Primary
036111882
IL
Other
Enumeration date
02/07/2007
Last updated
07/11/2025
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