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Individual

JENNY M. SIDDIQI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1800 HOLLISTER DR, SUITE 201, LIBERTYVILLE, IL 60048-5263
(847) 549-1189
(847) 932-4066
Mailing address
1800 HOLLISTER DR, SUITE 201, LIBERTYVILLE, IL 60048-5263
(847) 549-1189
(847) 932-4066

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009384
IL

Other

Enumeration date
04/26/2013
Last updated
01/25/2017
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