Elayyan, Ibrahim B.I.
Elayyan, Ibrahim B.I. is an individual health care provider with primary practice located at 1 Saint Anthonys Way , Alton IL 62002-4568. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Elayyan, Ibrahim B.I. can be contacted via phone (314) 317-0600.Contact Information
Primary practice address
1 Saint Anthonys Way
Alton IL 62002-4568
Phone: (314) 317-0600
Fax: (314) 317-0606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.125535 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036.125535 | Illinois |
Profile Details
| NPI number | 1023207115 |
|---|---|
| LBN Legal business name | Elayyan, Ibrahim B.I. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2007 |
| Last updated | Apr 22nd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023207115 | NPPES |
| Illinois | MEDICAID | 1023207115 |
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