Individual
DR. IBRAHIM HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506
(630) 859-8700
(630) 264-8828
Mailing address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 264-8828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036133999
IL
207RG0100X
Gastroenterology Physician
Primary
036133999
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036133999
STATE LICENSE
IL
Enumeration date
03/28/2011
Last updated
11/08/2022
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