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1174697262
ESSAM IBRAHIM
OAK LAWN, IL
NPI
1174697262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070008905)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- ESSAM IBRAHIM
4425 W 95TH ST
OAK LAWN, IL 60453-7221
Phone number: 708-422-4441
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Mailing Address
-- ESSAM IBRAHIM
7383 BIGGER ST
MERRILLVILLE, IN 46410-7822
Phone number: 708-422-4441
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