Magdi Ibrahim, DMD – General Practice Dentistry

Key facts

NPI: 1467975243
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 019.031155 (IL)
Practice address: 7236 W 87TH St
Brideview, IL 60455
Phone: (708) 415-8943
NPI assigned: Jul 24, 2017
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Bridgeview Smiles Dentist · Bridgeview, IL · NPI 1730738121

NPD
Dentalaveinc Dental Clinic/Center · Hickory Hills, IL · NPI 1164202719

NPD GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
019.031155	IL	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Bridgeview Smiles		Current	Accepting new patients
Dentalaveinc	General Practice	Current	Accepting new patients

Locations

8729 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 599-6600

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	019.031155	IL	Yes

Addresses

Primary practice location

7236 W 87TH St
Brideview, IL 60455

Mailing address

5916 W 88TH PL
Oak Lawn, IL 60453-1105
Phone (708) 529-3535

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.