Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abbas M.b Ibrahim Sr.

Individual provider Surgical Physician Assistant · NPI 1396017984

Abbas M.b Ibrahim Sr. is a Surgical Physician Assistant in Blue Island, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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Practice location Address checks out

12935 S Gregory St
Blue Island, IL 60406
Phone: (708) 597-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 238.000314 (IL)

Record details

NPI number1396017984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2012
Last updated in NPPESJanuary 30, 2012