Organization
TJ SIDDIQUI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHSEEN J SIDDIQUI MD (OWNER)
(708) 351-0292
Entity
Organization
Contact information
Practice address
11113 WOODSTOCK DR, ORLAND PARK, IL 60467-7611
(708) 351-0292
Mailing address
11113 WOODSTOCK DR, ORLAND PARK, IL 60467-7611
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036.105217
IL
Other
Enumeration date
05/22/2009
Last updated
05/27/2009
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