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Organization
OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC
Active
Organization
OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUWARIA OSMANI SIDDIQUI M.D (DOCTOR)
(847) 242-1001
Entity
Organization
Contact information
Practice address
6501 N LINCOLN AVE, LINCOLNWOOD, IL 60712-3925
(847) 242-1001
(847) 739-7219
Mailing address
6501 N LINCOLN AVE, LINCOLNWOOD, IL 60712-3925
(847) 242-1001
(847) 739-7219
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
036122637
IL
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/11/2012
Last updated
11/07/2024
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