| NPI | 1083330518 |
|---|---|
| Doing Business As | BANWO WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MARIAM SANGOBANWO Fnp/Owner 630-755-1754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |