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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Abbas M.B Ibrahim Sr.

Surgical Physician Assistant in Blue Island, IL · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396017984

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Registry record

Entity type Individual (Type 1)
Name Abbas M.B Ibrahim Sr.
Sex Male
Practice address 12935 S Gregory Street, Blue Island, IL, 60406
Enumeration date Jan 30, 2012
Last updated in NPPES Jan 30, 2012

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 238.000314 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Abbas Ibrahim?
The National Provider Identifier (NPI) for Abbas Ibrahim is 1396017984, a Type 1 (individual) record in the CMS NPPES registry.
Where does Abbas Ibrahim practice?
The practice location on file with NPPES is in Blue Island, IL. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-30.