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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIAM MOTUNRAYO SANGOBANWO, FNP

Active

MARIAM MOTUNRAYO SANGOBANWO, FNP is a Family Nurse Practitioner healthcare provider located in MOUNT PROSPECT, Illinois. NPI 1013667898 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · MOUNT PROSPECT, IL

Registration Details

NPI Number
1013667898
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2022 (4.3764838462886 yrs)
Last Updated
Oct 17, 2022
Licenses
041467719 (IL)
209025140 (IL)

Practice Information

Address
718 E NORTHWEST HWY
MOUNT PROSPECT, IL, 600563462
Browse IL providers · Browse ZIP 60056
Phone
6307551754
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in MOUNT PROSPECT, IL

Name Credential NPI
MICHELLE BRUNETTI NP 1154380608
CONCETTA ZAK NFP 1215196720
JENNIFER LOUISE MIHAILOVIC APN 1083959167
SUSAN CHACKO APN 1568701704
JASMINE KANAPPILLY APN 1932542016
JAMIE LOPEZ 1336577741
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.