Individual
DR. MOHAMMED W SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 SCHOOL ST, CARROLLTON, IL 62016-1436
(217) 942-6946
(217) 942-9349
Mailing address
PO BOX 7088, VILLA PARK, IL 60181-7088
(630) 706-0557
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036081571
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081571
—
IL
Enumeration date
11/03/2006
Last updated
07/21/2016
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