Individual
OMAR MOHAMMED SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 W 203RD ST STE 202, OLYMPIA FIELDS, IL 60461-1185
(708) 852-2555
(708) 679-2223
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036149859
IL
207R00000X
Internal Medicine Physician
125069011
IL
207R00000X
Internal Medicine Physician
57248471
OH
207RC0000X
Cardiovascular Disease Physician
036149859
IL
207RI0011X
Interventional Cardiology Physician
Primary
036149859
IL
Other
Enumeration date
06/23/2016
Last updated
07/26/2024
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