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1558483693
IBRAHIM ASSEIDAT
CHICAGO, IL
NPI
1558483693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MI 4301087384)
Enumeration Date
2007-04-06
Last Update Date
2007-07-30
Business Address
-- IBRAHIM ASSEIDAT M.D.
1855 W TAYLOR ST
CHICAGO, IL 60612-7242
Phone number: 312-996-7445
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Mailing Address
-- IBRAHIM ASSEIDAT M.D.
1631 S MICHIGAN AVE APT 302
VILLA PARK, IL 60181-4101
Phone number: 313-231-5210
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