Sangobanwo, Mariam Motunrayo

Sangobanwo, Mariam Motunrayo is an individual health care provider with primary practice located at 718 E Northwest Hwy , Mount Prospect IL 60056-3462. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sangobanwo, Mariam Motunrayo can be contacted via phone (630) 755-1754.

Contact Information

Primary practice address
718 E Northwest Hwy Mount Prospect IL 60056-3462
Phone: (630) 755-1754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041467719 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209025140 Illinois

Profile Details

NPI number 1013667898
LBN Legal business name Sangobanwo, Mariam Motunrayo
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2022
Last updated Oct 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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