Mansour, Ibrahim N
Mansour, Ibrahim N is an individual health care provider with primary practice located at 5 Kish Hospital Dr Ste 103 , Dekalb IL 60115-9602. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mansour, Ibrahim N can be contacted via phone (630) 232-0280.Contact Information
Primary practice address
5 Kish Hospital Dr Ste 103
Dekalb IL 60115-9602
Phone: (630) 232-0280
Fax: (630) 232-3895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036116574 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301095391 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-116574 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01064591A | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036116574 | Illinois |
Profile Details
| NPI number | 1619076619 |
|---|---|
| LBN Legal business name | Mansour, Ibrahim N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Feb 19th, 2024 - about 7 months 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 | 1619076619 | NPPES |
| Illinois | MEDICAID | 036116574 | |
| Illinois | Other | 3932056 |
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