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Individual
DR. MOHAMED ATTIA IBRAHIM
Active
Individual
DR. MOHAMED ATTIA IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DSC, MS, NCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
017552
NY
225100000X
Physical Therapist
Primary
070007653
IL
2251N0400X
Neurology Physical Therapist
4951
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1628667
BCBS OF IL. PPO
IL
01
—
2498142
UNITED HEALTH CARE
—
01
—
731267
OPTUM HEALTH
IL
01
—
7488668
AETNA PPO
—
Enumeration date
12/20/2005
Last updated
03/05/2020
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