Ibrahim MD Sc

NPI #1134119001 in Tinley Park, Illinois

Provider Information

NPI Number: 1134119001
Entity Type: Organization
Organization Name: Ibrahim MD Sc
Primary Specialty: Internal Medicine
Enumeration Date: Oct 24, 2005
Last Updated: Oct 22, 2007

Practice Location

Address: 6703 159TH ST
Address 2: SUITE 105
City: Tinley Park
State: Illinois
ZIP Code: 60477-1781
Phone: (708) 342-1541

Authorized Official

Name: HASSAN A IBRAHIM, M.D.
Title: PRESIDENT
Phone: (708) 342-1541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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