IndividualActive
Jacqueline Mondji Mamba
NPI 1720316706 · Driver · Bolingbrook, IL
Jacqueline Mondji Mamba is a Driver provider in Bolingbrook, IL (NPI 1720316706).
Provider details
- NPI number
- 1720316706
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1475 Basswood Dr
Bolingbrook, IL 60490-5419
Phone: (630) 759-4232
Fax: (630) 759-0327
Street-level locationGet directions
Mailing address
1475 Basswood Dr
Bolingbrook, IL 60490-5419
Registry dates
- Enumerated
- 2009-12-02
- Last updated
- 2009-12-02
Frequently asked questions
- What is Jacqueline Mondji Mamba's NPI number?
- Jacqueline Mondji Mamba's National Provider Identifier (NPI) is 1720316706, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Mondji Mamba's specialty?
- Jacqueline Mondji Mamba is listed in the NPPES registry with a primary specialty of Driver (Other Service Providers).
- Where is Jacqueline Mondji Mamba located?
- Jacqueline Mondji Mamba's practice location on file with NPPES is 1475 Basswood Dr, Bolingbrook, IL 60490-5419.
- What is Jacqueline Mondji Mamba's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Mondji Mamba is (630) 759-4232.
- Is Jacqueline Mondji Mamba's NPI active?
- Yes — Jacqueline Mondji Mamba's NPI (1720316706) is active in the NPPES registry as of the last update on 2009-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.