LUCY IBRAHIM


Address: 1280 Windham Pkwy, Romeoville, IL 60446-1673
Phone: 8159426323

LUCY IBRAHIM (NPI# 1184610107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
036-072559 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS PROVIDER ID 1626769 01
IL 036072559 05

Office Location

Street Address 1280 WINDHAM PKWY
City ROMEOVILLE
State IL
Zip Code 60446-1673

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2084A0401X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Medicine

Taxonomy Definition

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

Providers in the same taxonomy and state

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

Competitor

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City ROMEOVILLE
Zip Code 60446

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Dataset Information

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.

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