DR. Fady Mohammed Mousa-ibrahim, DO is a student in an organized health care education training program in Maywood, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Fady Mohammed Mousa-ibrahim, DO NPI is 1952807711. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 216-2687
Fax: (708) 216-5617
The NPI 1952807711 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/2/2018 and was last updated on 4/2/2018.