Ibrahim S. Sadek
General Practice Physician
630 E North Ave
Carol Stream
, Illinois 60188
Ibrahim S. Sadek
General Practice Physician
630 E North Ave
Carol Stream
, Illinois 60188
(630) 458-5300
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Ibrahim S. Sadek
- 630 E North Ave
- Carol Stream, IL
- Zip : 60188-2127
- Phone : (630) 458-5300
Second Address
- Ibrahim S. Sadek
- 630 E North Ave
- Carol Stream, IL
- Zip : 60188
- Phone : (630) 458-5300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208D00000X | General Practice Physician | 036083248 | IL |
National Provider Identifier
| NPI | 1013009265 |
|---|---|
| Provider Name | Ibrahim S. Sadek |
| First Address | Carol Stream, IL 60188-2127 |
| Second Address | Carol Stream, IL 60188 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 26/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F22765 | (02) | 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.