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

Dr. Ibrahim Said Mansour, MD

Individual provider Emergency Medicine Physician · NPI 1629507405

Dr. Ibrahim Said Mansour, MD is an Emergency Medicine in Chicago, Illinois. Graduated from University of Southern California Keck School of Medicine in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
University of Southern California Keck School of Medicine
Licensed in
IL
In the registry since
2017
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

1901 W Harrison St
Chicago, IL 60612-3714
Phone: (312) 864-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125070521 (IL)

Record details

NPI number1629507405
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2017
Last updated in NPPESDecember 10, 2021
Certification dateDecember 8, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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