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Dr. Fady Mohammed Mousa-ibrahim, DO
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1952807711

Fady Mohammed Mousa-ibrahim is a Student in an Organized Health Care Education/Training Program based in Union City, IL. Fady Mohammed Mousa-ibrahim practices in Maywood, IL and has the professional credentials of DO. The NPI Number for Fady Mohammed Mousa-ibrahim is 1952807711 and holds a License No. (Illinois).

The current practice location address for Fady Mohammed Mousa-ibrahim is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-2687 and via fax at 708-216-5617.

Location: 2160 S 1St Ave, Maywood, IL, 94587-4041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952807711
Provider Name
Fady Mohammed Mousa-ibrahim
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 94587-4041
Phone Number
708-216-2687
Fax Number
708-216-5617
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-2687
Fax Number
708-216-5617
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-2687
Fax Number
708-216-5617
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.
()
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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