DR. JOHN FIKRY MITYAS IBRAHIM (NPI# 1134675218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134675218 |
| Entity Type | Individual |
| Full Name | DR. JOHN FIKRY MITYAS IBRAHIM |
| Credential | M.D |
| Practice Address |
11s513 Rachael Ct Willowbrook IL 60527-6899 |
| Practice Telephone | 3312141843 |
| Mailing Telephone | 3312141843 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036147616 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 125069705 | IL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 036147616 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669749446 | John Ibrahim | Pharmacist | 561 Irvington Ave, Newark, NJ 07106-3103 | 2011-11-22 |
| 1801456157 | John Mina Ibrahim | Orthopaedic Surgery | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2019-06-18 |
| 1558621219 | John Wagdy Ibrahim | Pediatrics | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2012-05-29 |
| 1578750998 | John Sobhy Ibrahim | Pharmacist | 1601 Cherry St, Philadelphia, PA 19102-1321 | 2007-09-30 |
| 1669555470 | John Dean Ibrahim | Family Medicine | 8133 State Road 54, New Port Richey, FL 34655-3000 | 2006-10-23 |
| Street Address |
11S513 RACHAEL CT |
| City | WILLOWBROOK |
| State | IL |
| Zip Code | 60527-6899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| 1780128231 | A.m. Healthcare Inc | Hospitalist | 17 E 22nd Pl, Sterling, IL 61081-1263 | 2016-12-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1164888939 | Inpatient Consultants of Illinois, P.C. | Hospitalist | 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515-5641 | 2016-01-11 |
| 1437544764 | Victoria Grace Behrend | Hospitalist | 259 East Erie St, Chicago, IL 60611 | 2015-04-02 |
| 1881088995 | Raksha Nepal | Hospitalist | 4440w 95th St, Oak Lawn, IL 60453-2600 | 2015-03-26 |
| 1639562267 | Alexandra Steverson | Hospitalist | 2322 N Commonwealth Ave Apt 314, Chicago, IL 60614-3408 | 2015-03-06 |
| 1710398474 | Andrew Shabila | Hospitalist | 9977 Woods Dr Ste B70, Skokie, IL 60077-1057 | 2014-05-15 |
| 1124463401 | Forte Hospitalist Services, LLC | Hospitalist | 2250 N. Illinois Ave., Carbondale, IL 62901 | 2013-05-01 |
| 1255774527 | Ketevan Gvalia | Hospitalist | 170 W Polk St Apt 1007, Chicago, IL 60605 | 2013-04-16 |
| Find all providers with the same taxonomy | ||||
| City | WILLOWBROOK |
| Zip Code | 60527 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.