Ibrahim Md Sc

LBN: Ibrahim Md Sc
Ibrahim Md Sc is an health care organization with primary practice located at 6703 159Th St Suite 105, Tinley Park IL 60477-1781. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Ibrahim Md Sc can be contacted via phone (708) 342-1541, or through Ibrahim, Hassan A via phone (708) 342-1541.

Contact Information

Primary practice address
6703 159Th St Suite 105 Tinley Park IL 60477-1781
Phone: (708) 342-1541
Fax: (708) 342-2673
Website:
Map and Directions
Authorized official contact:
Name: Ibrahim, Hassan A Doctor of Medicine (MD)
Phone: (708) 342-1541

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1134119001
LBN Legal business name Ibrahim Md Sc
DBA Doing business as
Authorized official Ibrahim, Hassan A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Oct 22nd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134119001 NPPES
Other 00021623342 BCBSIL GROUP NUMBER

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