SearchIllinois235Z00000X

Matthew Ibrahim

NPI 1922656867 · on the registry since 2019 · sole proprietor

Practice

Address
8701 Menard Ave
Morton Grove, IL 60053
Phone
(847) 966-8600
Organisation at this address
Niles Twp Dept Of Sp Ed
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-03

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