Ricardo N. Nabong, M.D.,S.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036052875 Issued in IL

Legal business name

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

Practice address

4318 W Crystal Lake Rd
Suite G
McHenry, IL 60050-4210

Phone

(815) 344-0734

Fax

(815) 344-0485

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Carolyn Anne Nabong, R.N.

Title

Business Manager

Phone

(815) 344-0734

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1730211475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 W CRYSTAL LAKE RD",
            "address_2": "SUITE G",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504210",
            "telephone_number": "815-344-0734",
            "fax_number": "815-344-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 W CRYSTAL LAKE RD",
            "address_2": "SUITE G",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504210",
            "telephone_number": "815-344-0734",
            "fax_number": "815-344-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO N. NABONG, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "NABONG",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "815-344-0734",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": "036052875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1578596193",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Reyna
• Jung M Rhee, MD
• Anne Marie Rhoades
• Emily Rhoades
• G Hossein M Riahi, MD
• Paige Nicole Rice, PA-C
• Victoria Rice
• Maureen S Richards, M.D.
• Ezekiel Richardson, MD
• Kathi Garrett Richardson, DPT

• Urology Physician in McHenry, IL
• Providers in McHenry, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.