Abbas Mb Ibrahim Sr, | |
12935 S Gregory Street, Blue Island, IL 60406 | |
(708) 597-2000 | |
Not Available |
Full Name | Abbas Mb Ibrahim Sr |
---|---|
Gender | Male |
Speciality | Physician Assistant - Surgical |
Location | 12935 S Gregory Street, Blue Island, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396017984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | 238.000314 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Abbas Mb Ibrahim Sr, 10600 Brooks Lane, Chicago Ridge, IL 60415 Ph: (708) 717-3841 | Abbas Mb Ibrahim Sr, 12935 S Gregory Street, Blue Island, IL 60406 Ph: (708) 597-2000 |
Brenda Carbajal, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12200 Western Ave, Blue Island, IL 60406 Phone: 708-631-2781 | |
Anthony Edward Falcon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 | |
Steven Kluck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 | |
Steven Milenkovic, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2338 New St, Blue Island, IL 60406 Phone: 708-824-1114 Fax: 708-824-9341 | |
Noreen B Keleher, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-226-7174 |