Derbas, Laith Ayman Ibrahim

Derbas, Laith Ayman Ibrahim is an individual health care provider with primary practice located at 1717 W Congress Pkwy Ste 317 , Chicago IL 60612-3809. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Derbas, Laith Ayman Ibrahim can be contacted via phone (312) 259-8005.

Contact Information

Primary practice address
1717 W Congress Pkwy Ste 317 Chicago IL 60612-3809
Phone: (312) 259-8005
Fax: (312) 942-6334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2016018870 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036.152637 Illinois

Profile Details

NPI number 1790131779
LBN Legal business name Derbas, Laith Ayman Ibrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2016
Last updated Jul 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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