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1710207105
IBRAHIM SHAMSI
PEORIA, IL
NPI
1710207105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 125.057513)
Enumeration Date
2010-06-08
Last Update Date
2010-06-08
Business Address
Dr. IBRAHIM SHAMSI DO
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 800-599-7337
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Mailing Address
Dr. IBRAHIM SHAMSI DO
7 CHIPPEWA CT
BURR RIDGE, IL 60527-0814
Phone number: 630-430-6786
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