Individual
EMAN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16131 WEBER RD, CREST HILL, IL 60403
(630) 589-9340
Mailing address
15540 S WILLOW CT, HOMER GLEN, IL 60491-8718
(630) 589-9340
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-38525
IL
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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