Active NPI
Marius O Mokwe MD.SC.
- Hematology (Internal Medicine) Physician
- Elgin, IL
National Provider Identifier
1093021917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- 036094619
- Legal business name
- MARIUS O MOKWE MD.SC.
- Practice address
- 901 Center St
Suite 203
Elgin, IL 60120-2104 - Phone
- (847) 695-7320
- Fax
- (847) 695-7732
- NPI assigned
- Aug 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marius Obiesie Mokwe, MD
- Title
- Director
- Phone
- (847) 695-7320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | 036094619 | IL | Primary |
Addresses
Primary practice location
901 Center St
Suite 203
Elgin, IL 60120-2104
Mailing address
901 Center St
Suite 203
Elgin, IL 60120-2104
Phone (847) 695-7320
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110221774 | Other | IL | PALMETO GBO |
| 036094619 | Medicaid | IL | |
| 12121881 | Other | IL | ONE HEALTH PLAN |
| 0004525452 | Other | IL | BLUE CROSS BLUE SHEILD |
| 7953002 | Other | IL | AETNA |
National Provider Directory
National Provider DirectoryLocations
1185 Dundee Ave
Ste D
Elgin, IL 60120
Phone (847) 695-7320
901 Center St
Ste 203
Elgin, IL 60120
Phone (847) 695-7320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1093021917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 CENTER ST",
"address_2": "SUITE 203",
"city": "ELGIN",
"state": "IL",
"postal_code": "601202104",
"telephone_number": "847-695-7320",
"fax_number": "847-695-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CENTER ST",
"address_2": "SUITE 203",
"city": "ELGIN",
"state": "IL",
"postal_code": "601202104",
"telephone_number": "847-695-7320",
"fax_number": "847-695-7732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIUS O MOKWE MD.SC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "MOKWE",
"authorized_official_first_name": "MARIUS",
"authorized_official_middle_name": "OBIESIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "847-695-7320",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology",
"state": "IL",
"license": "036094619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETO GBO",
"identifier": "110221774",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036094619",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "12121881",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "0004525452",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7953002",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.