Individual
WASAY SHAH SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
820 S WOOD ST # MC675, CHICAGO, IL 60612-4325
(312) 996-7378
Mailing address
820 S WOOD ST # MC675, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1102261A
IN
207RN0300X
Nephrology Physician
Primary
125085195
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
06/24/2025
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