1. Home
  2. Directory
  3. Illinois
  4. Blue Island
  5. Physician Assistant
  6. NPI Profile

ABBAS M.B IBRAHIM SR.
NPI 1396017984
Physician Assistant - Surgical in Blue Island, IL

Active since January 30, 2012
12935 S GREGORY STREET, BLUE ISLAND, IL 60406(708) 597-2000 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Abbas M.b Ibrahim Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABBAS M.B IBRAHIM SR. (NPI 1396017984) is an individual surgical provider in Blue Island, Illinois, licensed in Illinois (238.000314) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1396017984
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameABBAS M.B IBRAHIM SR.
Location Address12935 S GREGORY STREETBlue Island, IL 60406
Mailing Address10600 Brooks LaneChicago Ridge, IL 60415 · (708) 717-3841
Phone(708) 597-2000
Sole ProprietorNo
Enumeration DateJanuary 30, 2012
✔ NPI 1396017984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 238.000314
12935 S GREGORY STREET, Blue Island, IL 60406
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abbas Ibrahim's NPI number?

The NPI number for Abbas Ibrahim is 1396017984. It was assigned to this individual provider in the NPPES registry on January 30, 2012.

Where is Abbas Ibrahim located?

Abbas Ibrahim practices at 12935 S Gregory Street, Blue Island, IL 60406. The listed phone number is (708) 597-2000.

What is Abbas Ibrahim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Abbas Ibrahim was last updated on January 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.