Ibrahim, Lucy

Ibrahim, Lucy is an individual health care provider with primary practice located at 1280 Windham Pkwy , Romeoville IL 60446-1673. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Ibrahim, Lucy can be contacted via phone (815) 942-6323.

Contact Information

Primary practice address
1280 Windham Pkwy Romeoville IL 60446-1673
Phone: (815) 942-6323
Fax: (815) 942-6423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 036-072559 Illinois

Profile Details

NPI number 1184610107
LBN Legal business name Ibrahim, Lucy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Dec 20th, 2010 - about 15 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 1184610107 NPPES
Illinois Other 1626769 BCBS PROVIDER ID
Illinois MEDICAID 036072559 BCBS PROVIDER ID

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