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FAISAL ABDELAZIZ IBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
751 N RUTLEDGE ST STE 3100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-7363
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-3787

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.156017
IL
2084N0400X
Neurology Physician
125071382
IL

Other

Enumeration date
08/01/2017
Last updated
07/21/2022
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