Ibrahim, Omer
Ibrahim, Omer is an sole proprietor health care provider with primary practice located at 515 N State St Ste 900 , Chicago IL 60654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Ibrahim, Omer can be contacted via phone (312) 245-9965.Contact Information
Primary practice address
515 N State St Ste 900
Chicago IL 60654
Phone: (312) 245-9965
Fax: (312) 245-9964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036.143080 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036143080 | Illinois |
Profile Details
| NPI number | 1871869438 |
|---|---|
| LBN Legal business name | Ibrahim, Omer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2012 |
| Last updated | Apr 13th, 2022 - about 4 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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