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Individual

DR. IBRAHIM SHAMSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(800) 599-7337
Mailing address
7 CHIPPEWA CT, BURR RIDGE, IL 60527-0814
(630) 430-6786

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.057513
IL

Other

Enumeration date
06/08/2010
Last updated
06/08/2010
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