LUCY IBRAHIM (NPI# 1184610107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184610107 |
Entity Type | Individual |
Full Name | LUCY IBRAHIM |
Credential | MD |
Practice Address |
1280 Windham Pkwy Romeoville IL 60446-1673 |
Mailing Address |
1401 Lakewood Dr Suite A Morris IL 60450-3352 |
Practice Telephone | 8159426323 |
Practice Fax Number | 8159426423 |
Mailing Telephone | 8159426323 |
Mailing Fax Number | 8159426423 |
Enumeration Date | 2005-09-26 |
Last Update Date | 2010-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
036-072559 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS PROVIDER ID | 1626769 | 01 |
IL | 036072559 | 05 |
Street Address |
1280 WINDHAM PKWY |
City | ROMEOVILLE |
State | IL |
Zip Code | 60446-1673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689970360 | Srinivas C Kota Md Sc | Internal Medicine | 1280 Windham Pkwy, Romeoville, IL 60446-1673 | 2011-01-28 |
1285893669 | Clare Ann Beasley | Clinical Neuropsychologist | 1280 Windham Pkwy, Romeoville, IL 60446-1673 | 2008-06-02 |
1558550970 | Rose Fitness & Wellness, Inc. | Chiropractor | 1280 Windham Pkwy, Romeoville, IL 60446-1673 | 2007-10-22 |
1982643615 | Barbara Guschwan | Social Worker | 1280 Windham Pkwy, Romeoville, IL 60446-1673 | 2006-06-06 |
1063451680 | Pamela Grace | Psychologist | 1280 Windham Pkwy, Romeoville, IL 60446-1673 | 2006-06-06 |
1689613150 | Margaret S. Ward | Psychiatry & Neurology | 1280 Windham Pkwy, Romeoville, IL 60446-1673 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184254393 | Gary Smith | Counselor | 97 Olde English, Romeoville, IL 60446 | 2020-01-16 |
1417463399 | Marlene Marie Dunleavy | Psychologist | 590 Belmont Drive, Romeoville, IL 60446 | 2017-12-14 |
1821516493 | Catherine Dupee | Speech-Language Pathologist | 100 N. Independence Blvd., Romeoville, IL 60446 | 2017-09-05 |
1396297370 | Erin Nicole Richardson | Social Worker | 500 South Weber Road, Romeoville, IL 60446 | 2016-10-26 |
1477948636 | Lenita Hinkle | Nurse Practitioner | 1262 Le Moyne Avenue, Romeoville, IL 60446 | 2015-04-03 |
1679996516 | Lea Institute Inc. | Naprapath | 600 S. Weber Rd., Suite 5, Romeoville, IL 60446 | 2014-01-29 |
1255768941 | Brian Froelich | Social Worker | 1289 Windham Parkway, Romoeville, IL 60446 | 2013-09-26 |
1346584513 | Lifeclinic Chiropractic of Illinois LLC | Chiropractor | 1220 Lakeville Drive, Romeoville, IL 60446 | 2012-11-12 |
1114290475 | Joliet Dialysis Holdings, LLC | Internal Medicine | 368 S. Weber Road, Romeoville, IL 60446 | 2012-02-17 |
1548570104 | Amazing Grace Health Services Inc. | Home Health | 1477 Snapdragon Court, Romeoville, IL 60446 | 2010-10-18 |
Find all providers in zip 60446 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | 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 |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144741844 | Rose Medical Association, Inc. | Psychiatry & Neurology | 209 W Romeo B Garrett Ave, Peoria, IL 61605-2502 | 2017-07-03 |
1215208491 | Fred M Levin Md Sc | Psychiatry & Neurology | 111 N. Wabash Avenue, Suite 1022, Chicago, IL 60602-1903 | 2012-01-20 |
1568525277 | Usha D Malkerneker | Psychiatry & Neurology | 17100 Dixie Hwy Ste D, Hazel Crest, IL 60429-1485 | 2006-12-18 |
1891899258 | Kenneth Lawrence Moore | Psychiatry & Neurology | 12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904 | 2006-09-07 |
1508979758 | Charles R Harris | Psychiatry & Neurology | 12230 Cashlenan Ln, New Lenox, IL 60451-2799 | 2006-08-15 |
1255340097 | Michael Rachman | Psychiatry & Neurology | 1375 E Schaumburg Road, Suite 260, Schaumburg, IL 60194-3658 | 2006-08-07 |
1245217959 | Raymond Christopher Garcia | Psychiatry & Neurology | 8616 Northern Ave, Rockford, IL 61107-5309 | 2005-12-23 |
1528681764 | Holon Inclusive Behavioral Health | Psychiatry & Neurology | 301 S Main St, Dupo, IL 62239-1325 | 2020-05-21 |
1013555416 | Mathers Recovery LLC | Psychiatry & Neurology | 81 E Grand Ave, Fox Lake, IL 60020-1557 | 2019-12-16 |
1083252480 | Mathers Recovery LLC | Psychiatry & Neurology | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2019-12-16 |
Find all providers with the same taxonomy |
City | ROMEOVILLE |
Zip Code | 60446 |
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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.