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General NPI Number Information
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NPI Number | 1003590241
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Entity Type | Individual
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Provider Name | GEORGE ADEL IBRAHIM MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 1901 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3714
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Country | US
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Telephone | 312-864-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 MULLIKIN DR
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City | CHAMPAIGN
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State | IL
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Zip | 61822-8591
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Country | US
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Telephone | 217-417-8732
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | I16530197025
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License Number State | IL
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