Organization
IBRAHIM MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSAN A IBRAHIM MD (PHYSICIAN)
(708) 614-3000
Entity
Organization
Contact information
Practice address
6720 167TH ST, SUITE 1, TINLEY PARK, IL 60477-2872
(708) 614-3000
(708) 614-3006
Mailing address
6720 167TH ST, SUITE 1, TINLEY PARK, IL 60477-2872
(708) 614-3000
(708) 614-3006
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036088992
IL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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