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

Mariam Motunrayo Sangobanwo, FNP

Individual provider Registered Nurse · NPI 1013667898

Mariam Motunrayo Sangobanwo, FNP is a Nurse Practitioner in Mount Prospect, Illinois. Qualified in 2022, 4 years ago. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

718 E Northwest Hwy
Mount Prospect, IL 60056-3462
Phone: (630) 755-1754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209025140 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041467719 (IL)

Record details

NPI number1013667898
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 25, 2022
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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