Individual
SOFIA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, FAHEY PSYCHIATRY, MAYWOOD, IL 60153-3328
(708) 216-3750
(708) 216-6840
Mailing address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, FAHEY PSYCHIATRY, MAYWOOD, IL 60153-3328
(708) 216-3750
(708) 216-6840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.062585
IL
Other
Enumeration date
04/01/2013
Last updated
09/17/2013
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