Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omer Ibrahim

Individual provider Procedural Dermatology Physician · NPI 1871869438

Omer Ibrahim is a Dermatology in Chicago, Illinois. Graduated from Yale University School of Medicine in 2012, 14 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Trained at
Yale University School of Medicine
Licensed in
IL
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

515 N State St Ste 900
Chicago, IL 60654
Phone: (312) 245-9965
Fax: (312) 245-9964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 515 N State St Ste 900, Chicago, IL 60654 — (312) 245-9965
  • 9500 Euclid Ave, Cleveland, OH 44195-0001 — (216) 444-2200

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036143080 (IL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 036.143080 (IL)

Record details

NPI number1871869438
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2012
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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