Ibrahim, Denise Theresa
Ibrahim, Denise Theresa is an individual health care provider with primary practice located at 133 E Brush Hill Rd , Elmhurst IL 60126-5659. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Ibrahim, Denise Theresa can be contacted via phone (630) 501-0630.Contact Information
Primary practice address
133 E Brush Hill Rd
Elmhurst IL 60126-5659
Phone: (630) 501-0630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 036105854 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036105854 | Illinois |
Profile Details
| NPI number | 1164418869 |
|---|---|
| LBN Legal business name | Ibrahim, Denise Theresa |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Oct 7th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164418869 | NPPES |
| Illinois | MEDICAID | 036105854 | |
| Illinois | Other | P00610091 |
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