Organization Active NPI

Brfmedicine

  • Primary Care Clinic/Center
  • Mount Prospect, IL
National Provider Identifier
1083330518
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BRFMEDICINE
Doing business as
BRFMedcine
Practice address
718 E Northwest Hwy
Mount Prospect, IL 60056-3462
Phone
(630) 755-1754
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mariam Sangobanwo, FNPNPI 1013667898
Title
FNP/Owner
Phone
(630) 755-1754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

718 E Northwest Hwy
Mount Prospect, IL 60056-3462

Mailing address

718 E Northwest Hwy
Mount Prospect, IL 60056-3462
Phone (630) 755-1754

Other names 1

  • BRFMedcine Doing business as

National Provider Directory

National Provider Directory

Locations

718 E Northwest Hwy
Mount Prospect, IL 60056
Phone (630) 755-1754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1083330518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 E NORTHWEST HWY",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563462",
            "telephone_number": "630-755-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 E NORTHWEST HWY",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563462",
            "telephone_number": "630-755-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRFMEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "SANGOBANWO",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "630-755-1754",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRFMedcine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.