Individual
AHMED IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3909
(773) 967-2000
Mailing address
1351 VERANDAH DR, VALPARAISO, IN 46385-7081
(219) 299-1421
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-580
CO
Other
Enumeration date
05/24/2017
Last updated
05/17/2022
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