Dr Jehanzab A Siddiqui, DPM | |
10002 S Kedzie Ave, Evergreen Park, IL 60805-3420 | |
(847) 390-7666 | |
(847) 390-9345 |
Full Name | Dr Jehanzab A Siddiqui |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 10002 S Kedzie Ave, Evergreen Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508210808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 07001316A (Indiana) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.005767 (Illinois) | Primary |
Provider Name | Weil Foot And Ankle Institute Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710965314 PECOS PAC ID: 4587655105 Enrollment ID: O20040521000960 |
Provider Name | Alpine Foot Specialists Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720728876 PECOS PAC ID: 5799168670 Enrollment ID: O20230815001809 |
Mailing Address | Practice Location Address |
---|---|
Dr Jehanzab A Siddiqui, DPM 1660 Feehanville Dr Ste 450, Mount Prospect, IL 60056-6023 Ph: (847) 390-7666 | Dr Jehanzab A Siddiqui, DPM 10002 S Kedzie Ave, Evergreen Park, IL 60805-3420 Ph: (847) 390-7666 |
Weil Foot And Ankle Institute Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 10002 S Kedzie Ave, Evergreen Park, IL 60805 Phone: 847-390-7666 Fax: 847-390-9345 | |
Pandit Foot And Ankle Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 3830 W 95th St, Evergreen Park, IL 60805 Phone: 708-423-3668 | |
Daniel Ryan, Podiatrist Medicare: Medicare Enrolled Practice Location: 3830 W 95th St # 104, Evergreen Park, IL 60805 Phone: 708-423-3668 | |
Sharif M Denden, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10002 S Kedzie Ave, Evergreen Park, IL 60805 Phone: 847-390-7666 Fax: 847-390-9345 | |
Bela Pandit, PC Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3830 W 95th St Ste 104, Evergreen Park, IL 60805 Phone: 708-423-3668 | |
Dr. Robert Deleon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10002 S Kedzie Ave, Evergreen Park, IL 60805 Phone: 708-422-4300 Fax: 708-422-4370 |