Serene Infusion and Wellness Lounge LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SERENE INFUSION AND WELLNESS LOUNGE LLC

Practice address

40W222 Lafox Rd Ste P2-E
St Charles, IL 60175-7625

Phone

(630) 402-6627

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Yewande Banire, FNPNPI 1154072817

Title

Ceo

Phone

(630) 402-6627

Specialties & licenses 1

Addresses

Other names 1

• SERENE INFUSION AND WELLNESS LOUNGE PLCC Other name

Locations

Practitioners 1

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

• Yewande Banire, FNP-C

  • Family Nurse Practitioner
  • St Charles, IL
  • NPI 1154072817
  NPD Authorized official

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1790507366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 PRAIRIE CROSSING DR # A",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605384057",
            "telephone_number": "312-646-8086",
            "fax_number": "630-402-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W222 LAFOX RD STE P2-E",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757625",
            "telephone_number": "630-402-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE INFUSION AND WELLNESS LOUNGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "BANIRE",
        "authorized_official_first_name": "YEWANDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-402-6627",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERENE INFUSION AND WELLNESS LOUNGE PLCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Agata Semanyszyn
• Merve Senalan
• Jessica Elizabeth Sendef
• Maria Seppala, DC
• Serene Chiropractic Inc.
• Maureen Christina Sevandal, D.D.S, M.S.
• Nashira Sey, M.D.
• Jill K. Shackelford, CCC-SLP
• Hythem P Shadid, M.D.
• Mansi Rocky Shah

• Family Nurse Practitioner in St Charles, IL
• Providers in St Charles, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.