Omer Ibrahim, | |
515 N State St Ste 900, Chicago, IL 60654 | |
(312) 245-9965 | |
(312) 245-9964 |
Full Name | Omer Ibrahim |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 12 Years |
Location | 515 N State St Ste 900, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871869438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | 036.143080 (Illinois) | Secondary |
207N00000X | Dermatology | 036143080 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chicago Cosmetic Surgery And Dermatology Sc | 8325005150 | 8 |
Entity Name | Rush University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
Entity Name | Chicago Cosmetic Surgery And Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407068000 PECOS PAC ID: 8325005150 Enrollment ID: O20041214000324 |
Mailing Address | Practice Location Address |
---|---|
Omer Ibrahim, 515 N State St Ste 900, Chicago, IL 60654-9104 Ph: (312) 245-9965 | Omer Ibrahim, 515 N State St Ste 900, Chicago, IL 60654 Ph: (312) 245-9965 |
Edward B Li, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 676 N Saint Clair St Ste 1600, Chicago, IL 60611 Phone: 312-695-8106 | |
Joaquin Carlos Brieva, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611 Phone: 312-695-8106 Fax: 312-695-0537 | |
Dr. Kevin Scott Pinski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601 Phone: 312-263-4625 Fax: 312-263-5029 | |
Dr. James A Ida Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 1663 W Carmen Ave, Chicago, IL 60640 Phone: 773-293-7500 | |
Erin M Ibler, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126 | |
Dr. Stephen L Carter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126 | |
Dr. Todd Andrew Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642 Phone: 773-276-1100 Fax: 773-276-1102 |