Individual
DR. CECILIA IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10749 W 159TH ST, ORLAND PARK, IL 60467-4531
(708) 460-3300
(708) 460-3301
Mailing address
P.O. BOX 550, MATTESON, IL 60443
(708) 460-3300
(708) 460-3301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36090846
IL
Other
Enumeration date
02/20/2007
Last updated
11/30/2012
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