Individual
KAMAL N. IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1S224 SUMMIT AVE, SUITE 203, OAKBROOK TERRACE, IL 60181-3983
(630) 620-4141
(630) 620-4174
Mailing address
4300 COMMERCE CT, SUITE 230, LISLE, IL 60532-3698
(630) 968-1881
(630) 245-9098
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IL
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00242697
RAILROAD MEDICARE
IL
Enumeration date
09/27/2005
Last updated
03/04/2008
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