Individual
MOHAMED RUZAIK IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4115 S WATER TOWER PL, MOUNT VERNON, IL 62864-6293
(618) 315-6090
Mailing address
4113 S WATER TOWER PL, MOUNT VERNON, IL 62864-6293
(618) 315-6090
(618) 204-5472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A98494
CA
207RC0000X
Cardiovascular Disease Physician
Primary
036128960
IL
Other
Enumeration date
03/03/2008
Last updated
06/30/2016
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