Individual
KHALIL IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 S WOOD ST, CHICAGO, IL 60608-1202
(312) 996-2000
Mailing address
1220 S WOOD ST, CHICAGO, IL 60608-1202
(312) 996-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036152295
IL
Other
Enumeration date
03/23/2012
Last updated
05/18/2021
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