Individual
JILL ANN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
120 N OAK ST, HINSDALE, IL 60521-3829
(630) 856-6782
(630) 856-5703
Mailing address
4572 BASSWOOD DR, LISLE, IL 60532-1374
(708) 805-2290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016775
IL
Other
Enumeration date
11/26/2017
Last updated
11/26/2017
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