SYLVERE ROLAND MALONGA

BOLINGBROOK, IL
NPI1497311104
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.017752)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IL  041.301622)
Enumeration Date2019-05-17
Last Update Date2023-07-05
Business Address
Mr. SYLVERE ROLAND MALONGA
1475 BASSWOOD DR
BOLINGBROOK, IL 60490-5419
Phone number: 630-417-9417
Mailing Address
Mr. SYLVERE ROLAND MALONGA
1475 BASSWOOD DR
BOLINGBROOK, IL 60490-5419
Phone number: 630-417-9417