# SUNRISE MEDICAL CENTER S. C.

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

## Provider details

- **NPI number:** 1821079955
- **Authorized official:** DR. CECILIA IBRAHIM M.D. (PRESIDENT)
- **Authorized official phone:** (708) 633-8300

## Contact information

- **Practice address:** 16750 80TH AVE, STE D, TINLEY PARK, IL 60477-3173
- **Practice address phone:** (708) 633-8300
- **Practice address fax:** (708) 633-8091
- **Mailing address:** 16750 80TH AVE, STE D, TINLEY PARK, IL 60477-3173
- **Mailing address phone:** (708) 633-8300
- **Mailing address fax:** (708) 633-8091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0360908461 | — | IL |