Individual
AHMED FARAZ SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1426 W WASHINGTON BLVD, CHICAGO, IL 60607-1821
(312) 829-1424
Mailing address
1426 W WASHINGTON BLVD, CHICAGO, IL 60607-1821
(312) 829-1424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02005873A
IN
207RN0300X
Nephrology Physician
Primary
036148488
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
07/10/2020
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