Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ebehireme E Ibazebo, MD

Individual provider Internal Medicine Physician · NPI 1639584733

Dr. Ebehireme E Ibazebo, MD is a Hospitalist in Davenport, Iowa. Qualified in 2007, 19 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1227 E Rusholme St
Davenport, IA 52803-2459
Phone: (563) 421-3120
Fax: (563) 421-3129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 W Harrison St, Chicago, IL 60612-3714 — (312) 864-6000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125065062 (IL)

Record details

NPI number1639584733
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2014
Last updated in NPPESApril 30, 2021
Certification dateApril 13, 2021
Mailing address5522 Emily Rd, Bettendorf, IA 52722-1260

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Davenport