# TJ SIDDIQUI INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053546820
- **Authorized official:** TAHSEEN J SIDDIQUI MD (OWNER)
- **Authorized official phone:** (708) 351-0292

## Contact information

- **Practice address:** 11113 WOODSTOCK DR, ORLAND PARK, IL 60467-7611
- **Practice address phone:** (708) 351-0292
- **Mailing address:** 11113 WOODSTOCK DR, ORLAND PARK, IL 60467-7611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 036.105217 | IL | Yes |

## Other

- **Enumeration date:** 05/22/2009
- **Last updated:** 05/27/2009