Look up the most recent NPI and PECOS records

George Adel Ibrahim

Internal Medicine

Allopathic & Osteopathic Physicians

1901 W Harrison St, Chicago, IL 60612-3714

PECOS Enrollment

This provider is enrolled in PECOS as GEORGE IBRAHIM.

Based on the most recent information from CMS, provider George Adel Ibrahim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003590241
Provider Type
Individual
Full Name
Ibrahim, George Adel
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/8/2023
Last Updated
6/8/2023

Contact Information

Practice Location

1901 W Harrison St, Chicago, IL 60612-3714

(312) 864-6000

Unlisted Fax

Mailing Location

2206 Mullikin Dr, Champaign, IL 61822-8591

(217) 417-8732

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License I16530197025 Illinois

George Adel Ibrahim

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Warraich, Muhammad Sheharyar

Pillay, Veerasamy Kista,Govinda

Maciata, Wojciech Stanislaw

Rao, Sheetal Khedkar

Mennella, Concetta C

Stobierska, Dorota

Hami, Davin

Cuartas Mesa, Maria Cristina

Jha, Vivek

Rush University Medical Center