Individual
DR. FATIMA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5222 N CLARK ST, CHICAGO, IL 60640-2377
(773) 275-2538
Mailing address
5222 N CLARK ST, CHICAGO, IL 60640-2377
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010989
IL
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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