Individual
IBRAHIM MAJZOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 S CENTRAL AVE, OUTPATIENT FACILITY, CHICAGO, IL 60644-5059
(847) 800-2824
Mailing address
64 SHEFFIELD LN, OAK BROOK, IL 60523-2354
(847) 298-4004
(847) 298-4006
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036093658
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093658
—
IL
Enumeration date
10/04/2006
Last updated
12/05/2017
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