Individual
MARINA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 W LINCOLN HWY, CHICAGO HEIGHTS, IL 60411-2619
(708) 754-9687
Mailing address
600 W FULTON ST, CHICAGO, IL 60661-1259
(312) 526-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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