RICARDO N. NABONG, M.D.,S.C.
Urology at Crystal Lake Rd, Volo, IL

License number
Illinois 036052875
Category
Radiology
Type
Urology
Owner
Name: CAROLYN ANNE NABONG R.N.
Title: BUSINESS MANAGER
Phone: (815) 344-0734
Address
Address
4318 W Crystal Lake Rd SUITE G, Volo, IL 60050
National Provider ID: 1730211475
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RICARDO N. NABONG, M.D., S.C

McHenry, IL 60050

Registration:
May 5, 1977
State ID:
51158059
Business type:
Domestic Bca
Expiration:
Perpetual
Agent:
Ricardo N Nabong,4318 G W Crystal Lk Rd, McHenry, IL 60050 (Physical)

Urology licenses in Illinois

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