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Mina Ibrahim
NPI 1114308970 · on the registry since 2015
Practice
- Address
- 3445 Freedom Dr
Springfield, IL 62704 - Phone
- (217) 546-3270
- Organisation at this address
- Highland Park Cvs Llc
Luxottica Of America Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-17
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