| Banwo Wellness Center | |
|
718 E Northwest Hwy Mount Prospect IL 60056-3462 | |
| (630) 755-1754 | |
| Not Available |
| Full Name | Banwo Wellness Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 718 E Northwest Hwy, Mount Prospect, Illinois |
| Authorized Official Name and Position | Mariam Sangobanwo (FNP/OWNER) |
| Authorized Official Contact | 6307551754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banwo Wellness Center 718 E Northwest Hwy Mount Prospect IL 60056-3462 Ph: (630) 755-1754 | Banwo Wellness Center 718 E Northwest Hwy Mount Prospect IL 60056-3462 Ph: (630) 755-1754 |
| NPI Number | 1083330518 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083330518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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