Individual
KHALID A. SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-4400
(779) 490-5906
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-087584
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087584
—
IL
Enumeration date
08/30/2006
Last updated
04/13/2026
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