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Abbas M.b Ibrahim SR.
Surgical Physician Assistant in Blue Island, Illinois
NPI 1396017984

Abbas M.b Ibrahim SR. is a Surgical Physician Assistant based in Chicago Ridge, IL and is specialized in Surgical. Abbas M.b Ibrahim SR. practices in Blue Island, IL. The NPI Number for Abbas M.b Ibrahim SR. is 1396017984 and holds a License No. 238.000314 (Illinois).

The current practice location address for Abbas M.b Ibrahim SR. is 12935 S Gregory Street, Blue Island, IL and can be reached out via phone at 708-597-2000.

Location: 12935 S Gregory Street, Blue Island, IL, 60415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396017984
Provider Name
Abbas M.b Ibrahim SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
12935 S Gregory Street, Blue Island, IL, 60415
Phone Number
708-597-2000
Fax Number
Provider Enumeration Date
01/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12935 S Gregory Street
City
Blue Island
State
Illinois
Zip
60406
Phone Number
708-597-2000
Fax Number
person
Provider Business Mailing Address Details
Address
12935 S Gregory Street
City
Blue Island
State
Illinois
Zip
60406
Phone Number
708-597-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
238.000314 (Illinois)
Definition
Definition to come...
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