Provider Demographics
NPI:1285725697
Name:ILUNGA, CHRISTINE KABANGA (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:KABANGA
Last Name:ILUNGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 WAYNE MEMORIAL DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-1789
Mailing Address - Country:US
Mailing Address - Phone:919-734-0909
Mailing Address - Fax:919-734-3233
Practice Address - Street 1:2400 WAYNE MEMORIAL DR
Practice Address - Street 2:SUITE D
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-1789
Practice Address - Country:US
Practice Address - Phone:919-734-0909
Practice Address - Fax:919-734-3233
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800069207RN0300X
ORMD211693207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1108JOtherBCBSNC
NC891108JMedicaid
NC2261885Medicare ID - Type Unspecified
NC1108JOtherBCBSNC