National Provider Identifier Database

LUCY IBRAHIM, MD – NPI #1184610107
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

LUCY IBRAHIM, MD
1280 WINDHAM PKWY
ROMEOVILLE, IL60446-1673
Phone: 815-942-6323
Fax: 815-942-6423
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for LUCY IBRAHIM

NPI Number 1184610107
Credentials MD
Entity Individual
Enumeration date 09/26/2005
Last updated 12/20/2010 - About 15 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036-072559
  • IL Medicaid: 036072559
  • IL Other: 1626769 BCBS PROVIDER ID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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