Elayyan, Ibrahim B.I.

Elayyan, Ibrahim B.I. is an individual health care provider with primary practice located at 1 Saint Anthonys Way , Alton IL 62002-4568. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Elayyan, Ibrahim B.I. can be contacted via phone (314) 317-0600.

Contact Information

Primary practice address
1 Saint Anthonys Way Alton IL 62002-4568
Phone: (314) 317-0600
Fax: (314) 317-0606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.125535 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036.125535 Illinois

Profile Details

NPI number 1023207115
LBN Legal business name Elayyan, Ibrahim B.I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Apr 22nd, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023207115 NPPES
Illinois MEDICAID 1023207115

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