Denise Theresa Ibrahim
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
133 E Brush Hill Rd
Elmhurst
, Illinois 60126-5659
Denise Theresa Ibrahim
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
133 E Brush Hill Rd
Elmhurst
, Illinois 60126-5659
(630) 469-2000
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Denise Theresa Ibrahim
- 1860 Paysphere Cir
- Chicago, IL
- Zip : 60674-3698
- Phone : (630) 469-2000
Second Address
- Denise Theresa Ibrahim
- 133 E Brush Hill Rd
- Elmhurst, IL
- Zip : 60126-5659
- Phone : (630) 501-0630
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Is Denise Theresa Ibrahim accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 036105854 | IL |
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | 036105854 | IL |
National Provider Identifier
| NPI | 1164418869 |
|---|---|
| Provider Name | Denise Theresa Ibrahim |
| First Address | Chicago, IL 60674-3698 |
| Second Address | Elmhurst, IL 60126-5659 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 07/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036105854 | (05) | IL |
| H84974 | (02) | IL |
| P00610091 | RAILROAD MEDICARE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.