MARIAM MOTUNRAYO SANGOBANWO FNP
NPI 1013667898
Nurse Practitioner - Family in Mount Prospect, IL

Q: What is Mariam Sangobanwo's NPI number?

The NPI number for Mariam Sangobanwo is 1013667898. It was assigned to this individual provider in the NPPES registry on March 25, 2022. The provider is also known as Mariam Motunrayo Alao Aboko Fnp.

Q: What is Mariam Sangobanwo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mariam Sangobanwo was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2022PECOS Enrolled

718 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056(630) 755-1754 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2022, May 13, 2022, May 4, 2022 and 2 more (5 updates tracked since 2022).

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About Mariam Motunrayo Sangobanwo Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAM MOTUNRAYO SANGOBANWO FNP (NPI 1013667898) is an individual family provider in Mount Prospect, Illinois, licensed in Illinois (209025140) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013667898

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIAM MOTUNRAYO SANGOBANWOCredential: FNP

Location Address718 E NORTHWEST HWYMount Prospect, IL 60056-3462

Mailing Address500 W Rand RdArlington Heights, IL 60004-2360 · (630) 755-1754

Phone(630) 755-1754

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 25, 2022

Last NPPES UpdateOctober 17, 20225 updates tracked since enumeration

NPPES CertifiedOctober 17, 2022

✔ NPI 1013667898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209025140

Also ListedRegistered NurseTaxonomy 163W00000X · License 041467719 (IL)

718 E NORTHWEST HWY, Mount Prospect, IL 60056

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Other Names 1

Former Name (1)Mariam Motunrayo Alao Aboko Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariam Motunrayo Sangobanwo Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204373996

PECOS Enrollment IDI20251029000483

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRFMEDICINE

Clinic/Center (Primary Care)

718 E NORTHWEST HWY
MOUNT PROSPECT, IL 60056

Cook County (630) 755-1754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariam Sangobanwo's NPI number?

The NPI number for Mariam Sangobanwo is 1013667898. It was assigned to this individual provider in the NPPES registry on March 25, 2022. The provider is also known as Mariam Motunrayo Alao Aboko Fnp.

Where is Mariam Sangobanwo located?

Mariam Sangobanwo practices at 718 E Northwest Hwy, Mount Prospect, IL 60056. The listed phone number is (630) 755-1754.

What is Mariam Sangobanwo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mariam Sangobanwo enrolled in Medicare?

Yes. Mariam Sangobanwo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariam Sangobanwo was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.