Healthcare Provider Details

I. General information

NPI: 1235666546
Provider Name (Legal Business Name): NORA IBRAHIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24600 W 127TH STREET, BLDG.B, SUITE 240
PLAINFIELD IL
60585
US

IV. Provider business mailing address

24600 W 127TH STREET, BLDG.B, SUITE 240
PLAINFIELD IL
60585
US

V. Phone/Fax

Practice location:
  • Phone: 815-267-8830
  • Fax: 815-267-8840
Mailing address:
  • Phone: 815-267-8830
  • Fax: 815-267-8840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number57030043
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: