Individual
SABET SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 HEALTH SERVICES DR STE 5, DEKALB, IL 60115-9601
(815) 756-5255
(815) 756-9944
Mailing address
9 HEALTH SERVICES DR STE 5, DEKALB, IL 60115-9601
(815) 756-5255
(815) 756-9944
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036086894
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086894
—
IL
01
—
069837
HEALTH ALLIANCE
IL
Enumeration date
01/23/2007
Last updated
08/25/2022
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