| Mohammad Siddiqui | |
|
9669 Kenton Ave Ste 305 Skokie IL 60076-1266 | |
| (847) 679-6333 | |
| Not Available |
| Full Name | Mohammad Siddiqui |
|---|---|
| Speciality | Internal Medicine |
| Location | 9669 Kenton Ave, Skokie, Illinois |
| Authorized Official Name and Position | Mohammad Siddiqui (M.D) |
| Authorized Official Contact | 8476796333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Siddiqui 9669 Kenton Ave Ste 305 Skokie IL 60076-1266 Ph: () - | Mohammad Siddiqui 9669 Kenton Ave Ste 305 Skokie IL 60076-1266 Ph: (847) 679-6333 |
| NPI Number | 1427597822 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 02/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427597822 | NPI | - | NPPES |
| 036093190 | Medicaid | IL | |
| 250210 | Other | IL | MEDICARE |
| 01608395 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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