Denise Theresa Ibrahim, DO | |
133 E Brush Hill Rd, Elmhurst, IL 60126-5659 | |
(630) 501-0630 | |
Not Available |
Full Name | Denise Theresa Ibrahim |
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Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 133 E Brush Hill Rd, Elmhurst, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164418869 | NPI | - | NPPES |
036105854 | Medicaid | IL | |
P00610091 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 036105854 (Illinois) | Secondary |
207X00000X | Orthopaedic Surgery | 036105854 (Illinois) | Primary |
Entity Name | Elmhurst Memorial Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457493454 PECOS PAC ID: 9638168602 Enrollment ID: O20040506001298 |
Mailing Address | Practice Location Address |
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Denise Theresa Ibrahim, DO 1860 Paysphere Cir, Chicago, IL 60674-3698 Ph: (630) 469-2000 | Denise Theresa Ibrahim, DO 133 E Brush Hill Rd, Elmhurst, IL 60126-5659 Ph: (630) 501-0630 |
John W Nikoleit, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 W Butterfield Rd, Elmhurst, IL 60126 Phone: 630-834-0491 | |
Dr. Richard A Brash, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 S York Rd, Suite 4250, Elmhurst, IL 60126 Phone: 630-758-8820 | |
Ryon Michael Hennessy, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 W Butterfield Rd, Suite 160, Elmhurst, IL 60126 Phone: 630-782-9600 Fax: 630-782-1643 | |
Daryl Len Oconnor, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 W Butterfield Rd, Suite 160, Elmhurst, IL 60126 Phone: 630-782-9600 Fax: 630-782-1643 | |
Dr. Kevin Chingyun Tu, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 S York Rd, Suite 4190, Elmhurst, IL 60126 Phone: 630-782-1174 Fax: 773-275-2443 | |
Alvin Monnie Kanter, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 360 W Butterfield Rd, Suite 160, Elmhurst, IL 60126 Phone: 630-782-9600 Fax: 630-782-1643 |