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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IBRAHIM NAIM MANSOUR, MD

Active

IBRAHIM NAIM MANSOUR, MD is a Hospice and Palliative Medicine healthcare provider located in DEKALB, Illinois. NPI 1619076619 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · DEKALB, IL

Registration Details

NPI Number
1619076619
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2006 (19.927279892503 yrs)
Last Updated
May 20, 2025
Licenses
036-116574 (IL)
036116574 (IL)
4301095391 (MI)
036116574 (IL)
01064591A (IN)

Practice Information

Address
5 KISH HOSPITAL DR STE 103
DEKALB, IL, 601159602
Browse IL providers · Browse ZIP 60115
Phone
6302320280
Fax
6302323895
Primary Specialty
Hospice and Palliative Medicine
207RI0011X
Additional Specialty
Family Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Cardiovascular Disease

Other Hospice and Palliative Medicine Providers in DEKALB, IL

Name Credential NPI
CHRISTOPHER JOHN BERRY MD 1770668527
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.