Individual
DR. JOHN FIKRY MITYAS IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
11S513 RACHAEL CT, WILLOWBROOK, IL 60527-6899
(331) 214-1843
Mailing address
11S513 RACHAEL CT, WILLOWBROOK, IL 60527-6899
(331) 214-1843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036147616
IL
207R00000X
Internal Medicine Physician
125069705
IL
208M00000X
Hospitalist Physician
Primary
01084871A
IN
208M00000X
Hospitalist Physician
036147616
IL
208M00000X
Hospitalist Physician
1018-320
WI
208M00000X
Hospitalist Physician
ME151077
FL
Other
Enumeration date
08/29/2016
Last updated
11/06/2023
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