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

Ibrahim Naim Mansour, MD

Individual provider Emergency Medicine Physician · NPI 1619076619

Ibrahim Naim Mansour, MD is an Interventional Cardiology in Dekalb, Illinois. Qualified in 2002, 24 years ago. Practices with Mercy Clinic Pittsburg LLC, a 45-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Indiana and Michigan.

Years since qualifying
24
Licensed in
IL, IN, MI
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5 Kish Hospital Dr Ste 103
Dekalb, IL 60115-9602
Phone: (630) 232-0280
Fax: (630) 232-3895
Show map & directions

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

Additional practice locations (2)

  • 840 S Wood St # Mc715, Chicago, IL 60612-4325 — (312) 996-9086
  • 601 W Kieffer Rd, Michigan City, IN 46360-9599 — (219) 878-3217

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 036116574 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036-116574 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036116574 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301095391 (MI)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 036116574 (IL)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 01064591A (IN)

Record details

NPI number1619076619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address5 Kish Hospital Dr Ste 103, Dekalb, IL 60115-9602

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mercy Clinic Pittsburg Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Dekalb