Individual
BRYAN M MALONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Mailing address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036176099
IL
208M00000X
Hospitalist Physician
039176099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036176099
—
IL
Enumeration date
06/29/2022
Last updated
08/19/2025
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