Organization
MIDWEST FUNCTIONAL PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED S SIDDIQUI MD (PRESIDENT)
(630) 290-2246
Entity
Organization
Contact information
Practice address
404 W BOUGHTON RD STE A, BOLINGBROOK, IL 60440-1898
(312) 885-0760
Mailing address
404 W BOUGHTON RD STE A, BOLINGBROOK, IL 60440-1898
(312) 885-0760
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
11/20/2025
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