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

Faisal Abdelaziz Ibrahim

Individual provider Neurology Physician · NPI 1053835090

Faisal Abdelaziz Ibrahim is a Neurology in Springfield, Illinois. Qualified in 2004, 22 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

751 N Rutledge St Ste 3100
Springfield, IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-7363
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 036.156017 (IL)
Neurology Physician Taxonomy 2084N0400X · Licence 125071382 (IL)

Record details

NPI number1053835090
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESJuly 21, 2022
Certification dateMay 3, 2022

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield