Renew Aesthetics & Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RENEW AESTHETICS & WELLNESS CENTER

Practice address

3925 75TH St Ste 101B
Aurora, IL 60504-8001

Phone

(630) 923-6723

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Olatokunbo Shobande, MDNPI 1972711513

Title

Ceo/Owner

Phone

(630) 926-7299

Specialties & licenses 1

Addresses

Tax ID family

Renew Aesthetics Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renew Aesthetics & Wellness Center

  • Internal Medicine Physician
  • Aurora, IL
  • NPI 1831043421
  NPD tax ID

Locations

Practitioners 1

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

• Olatokunbo Shobande, M.D.

  • Hospitalist Physician
  • Aurora, IL
  • NPI 1972711513
  NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1932982949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 FINLEY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 75TH ST STE 101B",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048001",
            "telephone_number": "630-923-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW AESTHETICS & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "SHOBANDE",
        "authorized_official_first_name": "OLATOKUNBO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "630-926-7299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Reilly
• Nicole Reiser
• Angie Reist, RN, PEL-CSN
• Brandie Remke
• Renew Aesthetics & Wellness Center
• Mary D Renner, NURSE
• Karina Resendez
• Adriana Resendiz, BA, MHP
• Amanda Resendiz, RBT
• Resilience Home Health, LLC (PurposeCare of Illinois - Aurora)

• Clinic/Center in Aurora, IL
• Providers in Aurora, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.