Dr Irshad Ahmed Siddiqui, MD | |
1801 W Windsor Rd, Champaign, IL 61822-6217 | |
(217) 366-8130 | |
Not Available |
Full Name | Dr Irshad Ahmed Siddiqui |
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Gender | Male |
Speciality | Family Medicine |
Location | 1801 W Windsor Rd, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1063640639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 125056883 (Illinois) | Primary |
Entity Name | Christie Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
Mailing Address | Practice Location Address |
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Dr Irshad Ahmed Siddiqui, MD 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-8130 | Dr Irshad Ahmed Siddiqui, MD 1801 W Windsor Rd, Champaign, IL 61822-6217 Ph: (217) 366-8130 |
Elizabeth A Ackerson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6203 | |
Dr. Robert K. Kuramoto, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1243 | |
Dr. Corinne E Kohler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558 | |
Dr. Kyle Alan Cassidy-wescott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6203 | |
John R Sellett, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 W Curtis Road, Family Medicine/convenient Care, Champaign, IL 61822 Phone: 217-365-6201 Fax: 217-326-1234 | |
Steve Gentry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6201 Fax: 217-326-4003 |