Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mariyam Humayun, MD

Individual provider Neurology Physician · NPI 1740701473

Dr. Mariyam Humayun, MD is a Neurology in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

912 S Wood St
Chicago, IL 60612-4300
Phone: (312) 996-1757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1740 W Taylor St, Chicago, IL 60612-7232 — (312) 996-6496

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 036162760 (IL)

Record details

NPI number1740701473
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2017
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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