Bulk check

Ahmed Emad Ibrahim Mohamed Ibrahim

Pediatrics in Springfield, IL. Individual provider (NPI-1).

NPI number1104735893
StatusActive
Last updated in NPPESSep 7, 2026

Details

NPI
1104735893
Entity type
Individual (NPI-1)
Name
Ahmed Emad Ibrahim Mohamed Ibrahim
Sex
Male
Sole proprietor
No
Enumeration date
Sep 7, 2026
Certification date
Sep 7, 2026
Last updated
Sep 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics125.087248ILYes

Practice location

400 N 9th St Ste 4a
Springfield, IL 62702-5310

Phone 217-545-2905

Mailing address

Po Box 19658
Springfield, IL 62794-9658

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics Physician providers in Springfield, IL

All 113 Pediatrics Physician providers in Springfield · All 5,952 providers in Springfield

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check