Healthcare Provider Details

I. General information

NPI: 1831043421
Provider Name (Legal Business Name): RENEW AESTHETICS & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 75TH ST STE 101B
AURORA IL
60504-8001
US

IV. Provider business mailing address

1750 W OGDEN AVE # 5063
NAPERVILLE IL
60540-9600
US

V. Phone/Fax

Practice location:
  • Phone: 630-923-6723
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. OLATOKUNBO SHOBANDE
Title or Position: CEO
Credential: MD
Phone: 630-926-7299