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Contact Information

LUCY IBRAHIM, MD
1280 WINDHAM PKWY
ROMEOVILLE, IL60446-1673
 Phone: 815-942-6323
 Fax: 815-942-6423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for LUCY IBRAHIM · (Female)

NPI # 1184610107
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2005
Last updated 12/20/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-072559
  • IL Medicaid 036072559
  • IL Other 1626769 BCBS PROVIDER ID
Hospital affiliation(s) Not Available
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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