Search › Illinois › 1041C0700X
Imani Alima Ibrahim
NPI 1023545464 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5113 S Harper Ave # 2079
Chicago, IL 60615 - Phone
- (708) 803-2899
- Organisation at this address
- Your Therapy S.P.A.C.E. Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- IL, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois