Nesreen Ibrahim, DMD
Dentist in Morris, IL. Individual provider (NPI-1).
NPI number1750128997
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1750128997
- Entity type
- Individual (NPI-1)
- Name
- Nesreen Ibrahim
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2024
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019036205 | IL | Yes |
Practice location
66 Green Acres DrMorris, IL 60450
Phone 815-318-2012
Mailing address
305 S 40th St Apt A1Philadelphia, PA 19104-4149
Phone 215-444-6006
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