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

Dr. Nafisa B Ibrahim, MD

Individual provider Diagnostic Radiology Physician · NPI 1053532002

Dr. Nafisa B Ibrahim, MD is a Diagnostic Radiology in Tinley Park, Illinois. Qualified in 2007, 19 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group and accepts Medicare assignment. Licensed in New York and Rhode Island.

Years since qualifying
19
Licensed in
NY, RI
In the registry since
2007
Specialties on file
2
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

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone: (708) 226-7050
Fax: (708) 226-7014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 15000 (RI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 274583 (NY)

Record details

NPI number1053532002
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing addressPo Box 713260, Chicago, IL 60677-1260

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Dupage Medical Group Ltd — 1328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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