Individual
MARIAH HAIDER SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, DEPT OF RADIOLOGY, MAYWOOD, IL 60153-3328
(708) 216-5204
Mailing address
2160 S 1ST AVE, DEPT OF RADIOLOGY, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
036.139815
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036139815
IL
Other
Enumeration date
04/01/2009
Last updated
03/20/2025
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