Ibrahim, Fazeelah

Ibrahim, Fazeelah is an individual health care provider with primary practice located at 1220 S Wood St , Chicago IL 60608-1202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Ibrahim, Fazeelah can be contacted via phone (312) 996-2000.

Contact Information

Primary practice address
1220 S Wood St Chicago IL 60608-1202
Phone: (312) 996-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 336.123413 Illinois
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 336.123413 Illinois

Profile Details

NPI number 1053975722
LBN Legal business name Ibrahim, Fazeelah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2019
Last updated Oct 24th, 2023 - about 2 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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