Lucy Ibrahim is a Addiction Medicine in Morris, Illinois. Lucy Ibrahim practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Lucy Ibrahim is 1184610107. The last update date is 2010-12-20.
Lucy Ibrahim's current location address is 1401 Lakewood Dr, Morris, Illinois. You can contact this provider via phone number 8159426323 and fax number 8159426423. The mailing address for Lucy Ibrahim is 1401 Lakewood Dr, Morris, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lucy Ibrahim |
|---|---|
| Address | 1401 Lakewood Dr, Morris, Illinois |
| Phone Number | 8159426323 |
| Fax Number | 8159426423 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184610107 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2010-12-20 |
Provider Mailing Address Detail
| Address | 1401 Lakewood Dr |
|---|---|
| City | Morris |
| State | Illinois (IL) |
| Post Code | 604503352 |
| Phone Number | 8159426323 |
| Fax Number | 8159426423 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 036-072559 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1626769 | IL | BCBS PROVIDER ID | |
| 36072559 | IL | -- |
Post Comment/ Review Below
What is the Lucy Ibrahim's unique identification number?
The Lucy Ibrahim has been assigned the NPI (National Provider Identifier) Number 1184610107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Lucy Ibrahim is physically located?
The Lucy Ibrahim is physically situated at the following address: 1401 Lakewood Dr, Morris, IL, 604503352.
What is Lucy Ibrahim's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lucy Ibrahim's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2084A0401X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184610107 to Lucy Ibrahim?
The Centers for Medicare & Medicaid Services originally issued the 1184610107 to Lucy Ibrahim on 2005-09-26.
When was the information pertaining to Lucy Ibrahim most recently updated or revised?
The details related to Lucy Ibrahim, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-20.