Individual
DR. FADI IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 542-2000
Mailing address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 542-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125063674
IL
Other
Enumeration date
07/04/2013
Last updated
07/04/2013
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