Individual
DR. NNANEME C. MGBODILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036103458
IL
208VP0014X
Interventional Pain Medicine Physician
036103458
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103458
—
IL
Enumeration date
05/30/2006
Last updated
06/02/2025
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