Ibrahim, Mohamed Attia

Ibrahim, Mohamed Attia is an sole proprietor health care provider with primary practice located at 1925 E 95Th St , Chicago IL 60617-4710. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Ibrahim, Mohamed Attia can be contacted via phone (312) 929-2950.

Contact Information

Primary practice address
1925 E 95Th St Chicago IL 60617-4710
Phone: (312) 929-2950
Fax: (312) 224-4777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 017552 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 4951 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070007653 Illinois

Profile Details

NPI number 1639155807
LBN Legal business name Ibrahim, Mohamed Attia
Credentials PT, DSC, MS, NCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2005
Last updated Mar 5th, 2020 - about 6 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 1639155807 NPPES
Illinois Other 731267 OPTUM HEALTH
Illinois Other 7488668 OPTUM HEALTH
Illinois Other 1628667 OPTUM HEALTH
Illinois Other 2498142 OPTUM HEALTH

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