Organization Active NPI

Jasyl Medical Services

  • Family Medicine Physician
  • Bolingbrook, IL
National Provider Identifier
1568337053
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JASYL MEDICAL SERVICES
Practice address
1475 Basswood Dr
Bolingbrook, IL 60490-5419
Phone
(630) 417-9417
Fax
(630) 417-9417
NPI assigned
Oct 6, 2025
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bryan M Malonga, MD
Title
President
Phone
(630) 417-9417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1475 Basswood Dr
Bolingbrook, IL 60490-5419

Mailing address

1475 Basswood Dr
Bolingbrook, IL 60490-5419
Phone (630) 417-9417

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1568337053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 BASSWOOD DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905419",
            "telephone_number": "630-417-9417",
            "fax_number": "630-417-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 BASSWOOD DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905419",
            "telephone_number": "630-417-9417",
            "fax_number": "630-417-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASYL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "MALONGA",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-417-9417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.