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

Individual provider Family Medicine Physician · NPI 1053975722

Fazeelah Ibrahim, MD is a Family Medicine Physician in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
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

1220 S Wood St
Chicago, IL 60608-1202
Phone: (312) 996-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 820 S Damen Ave, Chicago, IL 60612-3728 — (312) 569-8387

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 336.123413 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 336.123413 (IL)

Record details

NPI number1053975722
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2019
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

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