Ibrahim, Denise Theresa

Ibrahim, Denise Theresa is an individual health care provider with primary practice located at 133 E Brush Hill Rd , Elmhurst IL 60126-5659. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Ibrahim, Denise Theresa can be contacted via phone (630) 501-0630.

Contact Information

Primary practice address
133 E Brush Hill Rd Elmhurst IL 60126-5659
Phone: (630) 501-0630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 036105854 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036105854 Illinois

Profile Details

NPI number 1164418869
LBN Legal business name Ibrahim, Denise Theresa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Oct 7th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164418869 NPPES
Illinois MEDICAID 036105854
Illinois Other P00610091

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