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Omar Ibraheem

NPI 1871382267 · on the registry since 2025 · sole proprietor

Practice

Address
1010 Dover Ln
Aurora, IL 60504
Phone
(208) 293-2435

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-02

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