Hassan A. Ibrahim, M.D.

Internal Medicine Physician · Tinley Park, IL

Individual Active NPI

NPI number 1578562781

Practice location

16650 Harlem Ave
Suite C
Tinley Park, IL 60477-1847
Phone
(708) 614-3000
Fax
(708) 614-3006

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NPI record

NPI
1578562781
Entity type
Individual (Type 1)
Enumeration date
July 19, 2005
Last updated
March 6, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 036088992 IL

Mailing address

PO Box 518
Tinley Park, IL 60477-0518
Phone
(708) 614-3000
Fax
(708) 614-3006

About Dr. Ibrahim

Hassan A. Ibrahim, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 16650 Harlem Ave, Suite C, Tinley Park, IL 60477-1847. The NPI number 1578562781 was assigned on July 19, 2005 and the record was last updated on March 6, 2012.

Dr. Ibrahim lists a license in the registry: #036088992 (IL) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Hassan A. Ibrahim, M.D.?

The NPI number is 1578562781.

What is the phone number of Dr. Ibrahim?

The phone number listed for the practice location is (708) 614-3000.

Where is Dr. Ibrahim located?

16650 Harlem Ave, Suite C, Tinley Park, IL 60477-1847.

What is the taxonomy code for Dr. Ibrahim?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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