Individual
HENRY M OGBUAGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036164945
IL
207R00000X
Internal Medicine Physician
90333
GA
208M00000X
Hospitalist Physician
Primary
036164945
IL
208M00000X
Hospitalist Physician
90333
GA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/18/2010
Last updated
09/01/2023
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