Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chineze Ekilisie Mbanugo, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1063092955

Chineze Ekilisie Mbanugo, MD is a Pain Medicine (Anesthesiology) Physician in Detroit, Michigan. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2689
Phone: (313) 916-1601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 S Paulina St, Chicago, IL 60612-3806 — (312) 942-7100
  • 15 Michigan St Ne, Grand Rapids, MI 49503-2508 — (734) 620-5578

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 036180871 (IL)

Record details

NPI number1063092955
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 13, 2021
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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