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Individual

DR. IRSHAD AHMED SIDDIQUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 W WINDSOR RD, CHAMPAIGN, IL 61822-6217
(217) 366-8130
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-8130

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036129004
IL
207Q00000X
Family Medicine Physician
Primary
125056883
IL

Other

Enumeration date
06/23/2009
Last updated
03/25/2026
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