Organization
RICARDO N. NABONG, M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN ANNE NABONG R.N. (BUSINESS MANAGER)
(815) 344-0734
Entity
Organization
Contact information
Practice address
4318 W CRYSTAL LAKE RD, SUITE G, MCHENRY, IL 60050-4210
(815) 344-0734
(815) 344-0485
Mailing address
4318 W CRYSTAL LAKE RD, SUITE G, MCHENRY, IL 60050-4210
(815) 344-0734
(815) 344-0485
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036052875
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578596193
NPI#
IL
Enumeration date
03/09/2007
Last updated
03/03/2011
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