Individual
SHEIKH M SADIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4550 MEMORIAL DR, SUITE 340, BELLEVILLE, IL 62226-5372
(618) 257-4243
(618) 257-4838
Mailing address
4500 MEMORIAL DRIVE, MEMORIAL HOSPITAL MEDICAL AFFAIRS CREDENTIALING DEPT, BELLEVILLE, IL 62226
(618) 257-4644
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036114612
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361146121
—
IL
Enumeration date
05/17/2006
Last updated
03/31/2016
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