Ibrahim, Omer

Ibrahim, Omer is an sole proprietor health care provider with primary practice located at 515 N State St Ste 900 , Chicago IL 60654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Ibrahim, Omer can be contacted via phone (312) 245-9965.

Contact Information

Primary practice address
515 N State St Ste 900 Chicago IL 60654
Fax: (312) 245-9964
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036.143080 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036143080 Illinois

Profile Details

NPI number 1871869438
LBN Legal business name Ibrahim, Omer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2012
Last updated Apr 13th, 2022 - 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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