Individual
IMAN ZAHRAH SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2744 W 63RD ST, CHICAGO, IL 60629-2343
(773) 434-4626
(773) 303-8858
Mailing address
2744 W 63RD ST, CHICAGO, IL 60629-2343
(773) 434-4626
(773) 303-8858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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