MARIAM MOTUNRAYO SANGOBANWO FNP NPI 1013667898

NPI Information

NPI: 1013667898
Provider Name: MARIAM MOTUNRAYO SANGOBANWO, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
718 E NORTHWEST HWY
MOUNT PROSPECT, IL
ZIP 60056
Phone: (630) 755-1754
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Mariam Motunrayo Sangobanwo, FNP is a family nurse practitioner in Mount Prospect, IL. Mariam Motunrayo Sangobanwo, FNP NPI is 1013667898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

718 E NORTHWEST HWY
MOUNT PROSPECT, IL
ZIP 60056-462
Phone: (630) 755-1754

The enumeration date for this NPI number is 3/25/2022 and was last updated on 10/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041467719	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209025140	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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