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Individual

AMR IBRAHIM

Active
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Individual

AMR IBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
IL
225100000X
Physical Therapist
Primary
070-008721
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634214
BCBS OF IL GROUP #
IL
Enumeration date
08/18/2006
Last updated
12/18/2019
About Stedi
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