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

Ibrahim Ibrahim, MD

Individual provider Anesthesiology Physician · NPI 1912562422

Ibrahim Ibrahim, MD is an Anesthesiology in Loves Park, Illinois. Qualified in 2020, 6 years ago. Practices with Rockford Anesthesiologists Associated LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2019
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

2202 Harlem Rd Ste 200
Loves Park, IL 61111-2754
Phone: (815) 877-4848
Fax: (815) 654-5342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036.161997 (IL)

Record details

NPI number1912562422
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2019
Last updated in NPPESSeptember 3, 2024
Mailing address2202 Harlem Road, Suite 200, Loves Park, IL 61111-2754

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rockford Anesthesiologists Associated Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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