Individual
LINAH KWAMBOKA MAIRURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 HEATHER DR, MAHOMET, IL 61853-2754
(217) 586-8400
(217) 586-5093
Mailing address
950 E BELT LINE RD STE 150, CEDAR HILL, TX 75104-2424
(972) 291-7863
(972) 291-0942
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036172703
IL
207Q00000X
Family Medicine Physician
42727
KS
207Q00000X
Family Medicine Physician
Q9426
TX
Other
Enumeration date
04/17/2013
Last updated
03/03/2025
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