Organization
SUNRISE MEDICAL CENTER S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIA IBRAHIM M.D. (PRESIDENT)
(708) 633-8300
Entity
Organization
Contact information
Practice address
16750 80TH AVE, STE D, TINLEY PARK, IL 60477-3173
(708) 633-8300
(708) 633-8091
Mailing address
16750 80TH AVE, STE D, TINLEY PARK, IL 60477-3173
(708) 633-8300
(708) 633-8091
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360908461
—
IL
Enumeration date
11/07/2005
Last updated
08/22/2020
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