Mr Sylvere Roland Malonga, | |
1475 Basswood Dr, Bolingbrook, IL 60490-5419 | |
(630) 417-9417 | |
Not Available |
Full Name | Mr Sylvere Roland Malonga |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1475 Basswood Dr, Bolingbrook, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497311104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041.301622 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.017752 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New Southtown Medical Group S C | 0547572349 | 7 |
Entity Name | New Southtown Medical Group S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134508997 PECOS PAC ID: 0547572349 Enrollment ID: O20150708001267 |
Entity Name | Forever Care Home Visiting Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851865364 PECOS PAC ID: 1850631912 Enrollment ID: O20190327002314 |
Mailing Address | Practice Location Address |
---|---|
Mr Sylvere Roland Malonga, 1475 Basswood Dr, Bolingbrook, IL 60490-5419 Ph: (630) 417-9417 | Mr Sylvere Roland Malonga, 1475 Basswood Dr, Bolingbrook, IL 60490-5419 Ph: (630) 417-9417 |
Katrina Cudal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 396 Remington Blvd, Bolingbrook, IL 60440 Phone: 630-759-2966 | |
Karoline Ann Trestka, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542 Larkspur Dr, Bolingbrook, IL 60440 Phone: 630-696-3171 | |
Yetunde A Ayoade, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 793 Lindsey Ln, Bolingbrook, IL 60440 Phone: 773-600-4710 | |
Michael Boladas Aligno, MSN, APN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 Countryside Dr, Bolingbrook, IL 60490 Phone: 630-890-7503 | |
Rajwant Kaur Sohal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 730 S Weber Rd Ste G, Bolingbrook, IL 60490 Phone: 378-630-2000 | |
Jacinta Chinyere Igbo, APRN, NP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 412 Ingleside Dr, Bolingbrook, IL 60490 Phone: 630-696-1612 | |
Susan Wexler, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Remington Blvd., Suite B, Bolingbrook, IL 60440 Phone: 630-226-5300 Fax: 630-226-5308 |