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

Omer Ibrahim

Individual provider Procedural Dermatology Physician · NPI 1871869438

Omer Ibrahim is a Dermatology in Chicago, Illinois. Graduated from Yale University School of Medicine in 2012, 14 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Trained at
Yale University School of Medicine
Licensed in
IL
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

515 N State St Ste 900
Chicago, IL 60654
Phone: (312) 245-9965
Fax: (312) 245-9964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 515 N State St Ste 900, Chicago, IL 60654 — (312) 245-9965
  • 9500 Euclid Ave, Cleveland, OH 44195-0001 — (216) 444-2200

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036143080 (IL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 036.143080 (IL)

Record details

NPI number1871869438
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2012
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022
Mailing address515 N State St Ste 900, Chicago, IL 60654-9104

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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