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Matthew Ibrahim
Student in an Organized Health Care Education/Training Program in Morton Grove, Illinois
NPI 1922656867

Matthew Ibrahim is a Student in an Organized Health Care Education/Training Program based in Morton Grove, IL. Matthew Ibrahim practices in Morton Grove, IL. The NPI Number for Matthew Ibrahim is 1922656867 and holds a License No. 14338552 (Illinois).

The current practice location address for Matthew Ibrahim is 8701 Menard Ave, Morton Grove, IL and can be reached out via phone at 847-966-8600. You can also correspond with Matthew Ibrahim through the mailing address at 8930 NEENAH AVE, MORTON GROVE, IL - 60053-2364 (mailing address contact number: 847-840-1206).

Location: 8701 Menard Ave, Morton Grove, IL, 60053-2364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922656867
Provider Name
Matthew Ibrahim
Credential
Provider Entity Type
Individual
Gender
Male
Address
8701 Menard Ave, Morton Grove, IL, 60053-2364
Phone Number
847-966-8600
Fax Number
Provider Enumeration Date
09/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8701 Menard Ave
City
Morton Grove
State
Illinois
Zip
60053-3052
Phone Number
847-966-8600
Fax Number
person
Provider Business Mailing Address Details
Address
8930 Neenah Ave
City
Morton Grove
State
Illinois
Zip
60053-2364
Phone Number
847-840-1206
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
14338552 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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