DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQUELINE M MONDJI MAMBA

Active Sole Proprietor

MRS. JACQUELINE M MONDJI MAMBA is a Driver healthcare provider located in BOLINGBROOK, Illinois. NPI 1720316706 is currently active in the NPPES registry. Verify at CMS.

Driver · BOLINGBROOK, IL

Registration Details

NPI Number
1720316706
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2009 (16.725356172513 yrs)
Last Updated
Dec 2, 2009
Sole Proprietor
Yes

Practice Information

Address
1475 BASSWOOD DR
BOLINGBROOK, IL, 604905419
Browse IL providers · Browse ZIP 60490
Phone
6307594232
Fax
6307590327
Primary Specialty
Driver
172A00000X

Other Driver Providers in BOLINGBROOK, IL

Name Credential NPI
TONY A EDEH 1033630496
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.