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

Mariam Sabry Banoub, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104764372

Mariam Sabry Banoub, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
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

820 S Wood St Ste 100
Chicago, IL 60612-4325
Phone: (312) 996-2933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1104764372
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address820 S Wood St Ste 100, Chicago, IL 60612-4325

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