Abbas M.b Ibrahim Sr.
Abbas M.b Ibrahim Sr. is a Surgical Physician Assistant in Blue Island, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
12935 S Gregory StBlue Island, IL 60406
Phone: (708) 597-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 238.000314 (IL) |
|---|
Record details
| NPI number | 1396017984 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 30, 2012 |
| Last updated in NPPES | January 30, 2012 |
| Mailing address | 10600 Brooks Lane, Chicago Ridge, IL 60415 |