Nooreen Ibrahim, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016.005858 Issued in IL

Practice address

767 Park Ave W Ste 180
Highland Park, IL 60035-2470

Phone

(847) 380-3700

Fax

(877) 540-0387

NPI assigned

May 3, 2016

Last updated

Jul 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Il Foot and Ankle Clinic Medical CorpGroup PAC ID 8820183742, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Il Foot & Ankle Clinic Medical Corp

  • Foot & Ankle Surgery Podiatrist
  • Des Plaines, IL
  • NPI 1295925899

  WI

  Medicare reassignment Care Compare group NPD
• Serenity Foot and Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Highland Park, IL
  • NPI 1922617778
  Medicare reassignment NPD Authorized official
• First Connect Health Services Corp

  • Multi-Specialty Clinic/Center
  • Schaumburg, IL
  • NPI 1629685615
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1720433212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W STE 180",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352470",
            "telephone_number": "847-380-3700",
            "fax_number": "815-526-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W STE 180",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352470",
            "telephone_number": "847-380-3700",
            "fax_number": "877-540-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "NOOREEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ruth Hurwitz, PSY. D.
• Sarah Hussain, APN
• I Care Surgical Assistance Inc.
• Anthony J. Iacubino, M.A., L.C.P.C.
• Daniel Ibeling
• Ashley Ice, LCSW
• Il SNF Physicians PLLC
• Ila P. Kurani, MD, PC
• Illinois Bone and Joint Institute LLC
• Illinois Bone and Joint Institute, LLC

• Foot & Ankle Surgery Podiatrist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.