# LUCY IBRAHIM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679672216
- **Authorized official:** LUCY IBRAHIM MD (SOLE PROPRIETOR)
- **Authorized official phone:** (630) 789-2550

## Contact information

- **Practice address:** 120 N OAK ST, HINSDALE, IL 60521-3829
- **Practice address phone:** (630) 856-9000
- **Mailing address:** 777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
- **Mailing address phone:** (630) 789-2550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | IL | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 08/22/2020
