Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ABBAS M.B IBRAHIM SR.
ActiveABBAS M.B IBRAHIM SR. is a Surgical Physician Assistant healthcare provider located in BLUE ISLAND, Illinois. NPI 1396017984 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BLUE ISLAND, IL
Registration Details
- NPI Number
- 1396017984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2012 (14.580729766574 yrs)
- Last Updated
- Jan 30, 2012
- License
-
238.000314 (IL)
Practice Information
- Address
-
12935 S GREGORY STREETBLUE ISLAND, IL, 60406Browse IL providers · Browse ZIP 60406
- Phone
- 7085972000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.