IBRAHIM MD SC (NPI# 1134119001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134119001 |
| Entity Type | Organization |
| Organization Name | IBRAHIM MD SC |
| Practice Address |
6703 159th St Suite 105 Tinley Park IL 60477-1781 |
| Mailing Address |
Po Box 747 Chicago Heights IL 60412-0747 |
| Practice Telephone | 7083421541 |
| Practice Fax Number | 7083422673 |
| Mailing Telephone | 7087475850 |
| Mailing Fax Number | 7087479991 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | HASSAN A IBRAHIM (PRESIDENT) |
| Authorized Official Telephone | 7083421541 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSIL GROUP NUMBER | 00021623342 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689028714 | Ibrahim Md Sc | Clinic/Center | 6720 167th St, Suite 1, Tinley Park, IL 60477-2872 | 2016-04-14 |
| Street Address |
6703 159TH ST SUITE 105 |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-1781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704100 | Chaden Sbai | Internal Medicine | 6703 159th St, Suite 105, Tinley Park, IL 60477-1781 | 2005-07-19 |
| 1457582926 | Rewa Mahmoud Hasanat | Family Medicine | 6703 159th St, Suite 103, Tinley Park, IL 60477-1781 | 2009-08-01 |
| 1295965861 | Bushraah Medical Services Sc | Internal Medicine | 6703 159th St, Tinley Park, IL 60477-1781 | 2009-07-17 |
| 1407098544 | William Panje Md Sc | Otolaryngology | 6703 159th St, Tinley Park, IL 60477-1781 | 2009-04-06 |
| 1275713984 | Chaden Sbai Md Sc | Internal Medicine | 6703 159th St, Suite 105, Tinley Park, IL 60477-1781 | 2007-11-09 |
| 1447474283 | Phillip T Nigro | Orthopaedic Surgery | 6703 159th St, Suite 109, Tinley Park, IL 60477-1781 | 2007-04-12 |
| 1861415747 | Kavitha Bathala | Family Medicine | 6703 159th St, Suite 110, Tinley Park, IL 60477-1781 | 2006-07-25 |
| 1710931555 | Endocrine Care LLC | Internal Medicine | 6703 159th St, Suite 107, Tinley Park, IL 60477-1781 | 2006-05-19 |
| 1346230232 | Tinley Park Pediatric Associates Sc | Pediatrics | 6703 159th St, Suite 115, Tinley Park, IL 60477-1781 | 2005-10-24 |
| 1558361956 | Denice D Cook | Pediatrics | 6703 159th St, Suite 115, Tinley Park, IL 60477-1781 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831453638 | Troy Alexander-el | Internal Medicine | 6700 167th St Ste 5, Tinley Park, IL 60477-2078 | 2012-06-27 |
| 1356641120 | Nittor R. Jayaram Md Ltd | Internal Medicine | 17031 Harlem Ave, Tinley Park, IL 60477-2739 | 2010-10-27 |
| 1942450366 | Kankakee Internal Medicine Group | Internal Medicine | 7641 Newfield Ln, Tinley Park, IL 60487-5539 | 2008-09-22 |
| 1235255118 | David L Ellens Md Facp LLC | Internal Medicine | 6703 159th St Ste 115, Tinley Park, IL 60477-1782 | 2007-03-22 |
| 1669513735 | Jolly Susan Varghese | Internal Medicine | 7600 W. 183rd St, Tinley Park, IL 60477-3690 | 2007-02-09 |
| 1356393557 | Asad Zaman Md Sc | Internal Medicine | 6700 167th St, Suite 4, Tinley Park, IL 60477-2859 | 2006-05-16 |
| 1992704100 | Chaden Sbai | Internal Medicine | 6703 159th St, Suite 105, Tinley Park, IL 60477-1781 | 2005-07-19 |
| 1578562781 | Hassan A Ibrahim | Internal Medicine | 16650 Harlem Ave, Suite C, Tinley Park, IL 60477-1847 | 2005-07-19 |
| 1588029128 | Asad Zaman Md 20 Sc | Internal Medicine | 6700 167th St Ste 4, Tinley Park, IL 60477-2078 | 2015-12-28 |
| 1386986537 | Kaitlin Wanta | Internal Medicine | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2013-03-25 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.