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

Mubangu Mado Mandamuna

Individual provider Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1588333033

Mubangu Mado Mandamuna is a Hospice and Palliative Medicine (Family Medicine) Physician in Champaign, Illinois. Licensed in Illinois and Mississippi. Registered with an NPI since 2021.

Licensed in
IL, MS
In the registry since
2021
Specialties on file
3

Practice location Address checks out

201 N Randolph St
Champaign, IL 61820-3935
Phone: (877) 726-6494
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209023791 (IL)
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X · Licence 209023791 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 907367 (MS)

Record details

NPI number1588333033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2021
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026