Ibrahim, Amr
Ibrahim, Amr is an individual health care provider with primary practice located at 10632 Blue Heron Dr , Orland Park IL 60467-5489. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Ibrahim, Amr can be contacted via phone (708) 359-9997.Contact Information
Primary practice address
10632 Blue Heron Dr
Orland Park IL 60467-5489
Phone: (708) 359-9997
Fax: (708) 873-9377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | Illinois | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-008721 | Illinois |
Profile Details
| NPI number | 1669586707 |
|---|---|
| LBN Legal business name | Ibrahim, Amr |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Dec 18th, 2019 - about 7 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 | 1669586707 | NPPES |
| Illinois | Other | 01634214 | BCBS OF IL GROUP # |
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