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MRS. JACQUELINE M MONDJI MAMBA
NPI 1720316706
Driver in Bolingbrook, IL

Active since December 02, 2009
1475 BASSWOOD DR, BOLINGBROOK, IL 60490(630) 759-4232(630) 759-0327 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jacqueline M Mondji Mamba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELINE M MONDJI MAMBA (NPI 1720316706) is an individual driver provider in Bolingbrook, Illinois and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1720316706
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameMRS. JACQUELINE M MONDJI MAMBA
Location Address1475 BASSWOOD DRBolingbrook, IL 60490-5419
Mailing Address1475 Basswood DrBolingbrook, IL 60490-5419 · (630) 759-4232 · Fax (630) 759-0327
Phone(630) 759-4232
Fax(630) 759-0327
Sole ProprietorYes
Enumeration DateDecember 2, 2009
✔ NPI 1720316706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
1475 BASSWOOD DR, Bolingbrook, IL 60490
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NURSES ON CALLS, INC.
In Home Supportive Care
1475 BASSWOOD DR
BOLINGBROOK, IL 60490
Will County (630) 759-0069
MR. SYLVERE ROLAND MALONGA
Nurse Practitioner (Family)
1475 BASSWOOD DR
BOLINGBROOK, IL 60490
Will County (630) 417-9417
JASYL MEDICAL SERVICES
Family Medicine
1475 BASSWOOD DR
BOLINGBROOK, IL 60490
Will County (630) 417-9417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Mondji Mamba's NPI number?

The NPI number for Jacqueline Mondji Mamba is 1720316706. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Where is Jacqueline Mondji Mamba located?

Jacqueline Mondji Mamba practices at 1475 Basswood Dr, Bolingbrook, IL 60490. The listed phone number is (630) 759-4232.

What is Jacqueline Mondji Mamba's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Mondji Mamba was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.