Individual
OWAIS SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3313
(217) 383-4014
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3313
(217) 383-4014
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036161557
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/03/2019
Last updated
05/01/2025
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