1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MARIAM SABRY BANOUB MD
NPI 1104764372
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 23, 2026PECOS Enrolled
820 S WOOD ST STE 100, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariam Sabry Banoub Md NPPES

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

MARIAM SABRY BANOUB MD (NPI 1104764372) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104764372
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIAM SABRY BANOUBCredential: MD
Location Address820 S WOOD ST STE 100Chicago, IL 60612-4325
Mailing Address820 S Wood St Ste 100Chicago, IL 60612-4325 · (312) 996-2933
Phone(312) 996-2933
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1104764372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
820 S WOOD ST STE 100, Chicago, IL 60612
Open in Google Maps ↗

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 Sabry Banoub Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

CAILEAN ELLIOT MCKAY MD
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
KATHERINE ELIZABETH WINEBRAKE
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
MR. RYAN WANG BS
Neurological Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
ABHISHEK DESHPANDE MD
Orthopaedic Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 413-2048
JEFFREY CARL PETERSON MD, PHD
Ophthalmology
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
DR. ADDISON BAILEY WITT DO
Pediatrics
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
MAY BARAKAT
Family Medicine
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
IMARI C MCCULLOUGH
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933

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 Banoub's NPI number?

The NPI number for Mariam Banoub is 1104764372. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Mariam Banoub located?

Mariam Banoub practices at 820 S Wood St Ste 100, Chicago, IL 60612. The listed phone number is (312) 996-2933.

What is Mariam Banoub's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mariam Banoub enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mariam Banoub was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.