IBRAHIM MUSTAFA

NORMAL, IL
NPI1134650658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL  036156614)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-26
Last Update Date2021-10-27
Business Address
Dr. IBRAHIM MUSTAFA D.O.
1304 FRANKLIN AVE
NORMAL, IL 61761-3558
Phone number: 309-454-1400
Mailing Address
Dr. IBRAHIM MUSTAFA D.O.
611 W. PARK ST FAPC
URBANA, IL 61801
Phone number: