Individual provider · Type 1 NPI
Modestine Ngonmeudje
Psychiatric/Mental Health Nurse Practitioner · Bolingbrook, IL
NPI number
1669370110
Active
Practice location
308 Charlestown Dr
Bolingbrook, IL 60440-1303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.035846 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1669370110
Modestine Ngonmeudje's National Provider Identifier is 1669370110, issued on Oct 26, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bolingbrook, IL. The record was last updated on Oct 26, 2026.