| Ilahi Medicine Of Illinois, Llc | |
|
6374 N Lincoln Ave Suite #202 Chicago IL 60659-1275 | |
| (773) 681-0260 | |
| (773) 304-4415 |
| Full Name | Ilahi Medicine Of Illinois, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6374 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | Suhail Ahmed Siddiqui (PRESIDENT) |
| Authorized Official Contact | 7736810260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilahi Medicine Of Illinois, Llc 6374 N Lincoln Ave Suite #202 Chicago IL 60659-1275 Ph: (773) 681-0260 | Ilahi Medicine Of Illinois, Llc 6374 N Lincoln Ave Suite #202 Chicago IL 60659-1275 Ph: (773) 681-0260 |
| NPI Number | 1679724587 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 02/19/2013 |
| Medicare PECOS PAC ID | 0840471488 |
|---|---|
| Medicare Enrollment ID | O20110302000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679724587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
| Provider Name | Suhail A Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316904279 PECOS PAC ID: 4183614936 Enrollment ID: I20040514000290 |
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