Denise Theresa Ibrahim in Elmhurst - Pediatric Orthopaedic Surgery

Denise Theresa Ibrahim - NPI 1164418869

Denise Theresa Ibrahim is a Pediatric Orthopaedic Surgery in Elmhurst, Illinois. Denise Theresa Ibrahim practices all healthcare services and medical treatments related to Pediatric Orthopaedic Surgery. The NPI Number for Denise Theresa Ibrahim is 1164418869. The last update date is 2021-10-07.

Denise Theresa Ibrahim's current location address is 133 E Brush Hill Rd, Elmhurst, Illinois. You can contact this provider via phone number 6305010630. The mailing address for Denise Theresa Ibrahim is 133 E Brush Hill Rd, Elmhurst, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Denise Theresa Ibrahim
Address 133 E Brush Hill Rd, Elmhurst, Illinois
Phone Number 6305010630
Fax Number
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1164418869
Provider Enumeration Date 2005-09-27
Last Updated Date 2021-10-07

Provider Mailing Address Detail

Address 133 E Brush Hill Rd
City Elmhurst
State Illinois (IL)
Post Code 601265659
Phone Number 6305010630
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Orthopaedic Surgery
Taxonomy 207Xp3100X
Licence No 36105854
Definition:
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abn

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36105854 IL --
P00610091 IL RAILROAD MEDICARE

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FAQs about Denise Theresa Ibrahim

What is the Denise Theresa Ibrahim's unique identification number?

The Denise Theresa Ibrahim has been assigned the NPI (National Provider Identifier) Number 1164418869 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Denise Theresa Ibrahim is geographically located?

The Denise Theresa Ibrahim is physically situated at the following location: 133 E Brush Hill Rd, Elmhurst, IL, 601265659.

What is Denise Theresa Ibrahim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Denise Theresa Ibrahim is Pediatric Orthopaedic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Xp3100X.

On what date did the Centers for Medicare & Medicaid Services issue the 1164418869 to Denise Theresa Ibrahim?

The Denise Theresa Ibrahim received its 1164418869 assignment from the Centers for Medicare & Medicaid Services on 2005-09-27.

As of what date were the details related to Denise Theresa Ibrahim most recently updated or revised?

The information pertaining to Denise Theresa Ibrahim, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-07.

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