| NPI | 1134675218 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2016-08-29 |
| Last Updated | 2023-11-06 |
| Mailing Address | 11s513 Rachael Ct Willowbrook, IL 60527-6899 United States Phone: (331) 214-1843 📍 View Map |
| Primary Practice Address | 11s513 Rachael Ct Willowbrook, IL 60527-6899 United States Phone: (331) 214-1843 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | IL | 125069705 |
| No | 207R00000X – Internal Medicine | IL | 036147616 |
| No | 208M00000X – Hospitalist | WI | 1018-320 |
| No | 208M00000X – Hospitalist | IL | 036147616 |
| No | 208M00000X – Hospitalist | FL | ME151077 |
| Yes | 208M00000X – Hospitalist | IN | 01084871A |
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About NPI 1134675218
John Fikry Mityas Ibrahim M.D is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1134675218. The primary specialty listed is Hospitalist. The provider is located in Willowbrook, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-08-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134675218?
NPI 1134675218 belongs to John Fikry Mityas Ibrahim M.D, a Hospitalist in Willowbrook, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134675218 active?
The current status of NPI 1134675218 in the NPPES registry is Active. The record was last updated on 2023-11-06.
What specialty is NPI 1134675218?
NPI 1134675218 is classified under the taxonomy Hospitalist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1134675218?
You can verify NPI 1134675218 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1134675218?
The primary practice address on file for NPI 1134675218 is 11s513 Rachael Ct, Willowbrook, IL 60527-6899. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134675218 issued?
NPI 1134675218 was first issued (enumerated) on 2016-08-29. The NPPES record was last updated on 2023-11-06.
Practice Location Map
John Fikry Mityas Ibrahim is located at 11s513 Rachael Ct, Willowbrook, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as John Fikry Mityas Ibrahim. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1134675218. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 125069705 | IL |
| Internal Medicine | 036147616 | IL |
| Hospitalist | 1018-320 | WI |
| Hospitalist | 036147616 | IL |
| Hospitalist | ME151077 | FL |
| Hospitalist | 01084871A | IN |