Individual
MARY ROSE MABBAGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
9933 WOODS DR, SKOKIE, IL 60077-1049
(847) 663-8060
Mailing address
9933 WOODS DR, SKOKIE, IL 60077-1049
(847) 663-8060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041444579
IL
363L00000X
Nurse Practitioner
Primary
209026004
IL
363LF0000X
Family Nurse Practitioner
209.026004
IL
Other
Enumeration date
05/19/2022
Last updated
04/10/2026
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