Dr. Ibrahim Marouf Yasin Al Shyyab, MD
Pediatrics in Springfield, IL. Individual provider (NPI-1).
NPI number1689565327
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1689565327
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ibrahim Marouf Yasin Al Shyyab
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2025
- Certification date
- Jul 10, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 125085559 | IL | Yes |
Practice location
400 N 9th St # 4aSpringfield, IL 62702-5310
Phone 217-545-8000
Mailing address
400 N 9th St # 4aSpringfield, IL 62702-5310
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