| Ibrahim Md Sc | |
|
6703 159th St Suite 105 Tinley Park IL 60477-1781 | |
| (708) 342-1541 | |
| (708) 342-2673 |
| Full Name | Ibrahim Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6703 159th St, Tinley Park, Illinois |
| Authorized Official Name and Position | Hassan A Ibrahim (PRESIDENT) |
| Authorized Official Contact | 7083421541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibrahim Md Sc Po Box 747 Chicago Heights IL 60412-0747 Ph: (708) 747-5850 | Ibrahim Md Sc 6703 159th St Suite 105 Tinley Park IL 60477-1781 Ph: (708) 342-1541 |
| NPI Number | 1134119001 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134119001 | NPI | - | NPPES |
| 00021623342 | Other | BCBSIL GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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