Individual provider · Type 1 NPI

Fazeelah Ibrahim, MD

Addiction Medicine (Family Medicine) Physician · Chicago, IL

NPI number 1053975722 Active

Practice location

1220 S Wood St
Chicago, IL 60608-1202

Call (312) 996-2000 Map

Other practice locations

  • 820 S Damen Ave, Chicago, IL 60612-3728 · (312) 569-8387

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X336.123413 (IL)
Addiction Medicine (Family Medicine) Physician Primary 207QA0401X336.123413 (IL)

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

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About NPI 1053975722

Fazeelah Ibrahim, MD's National Provider Identifier is 1053975722, issued on Apr 27, 2019. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2023.