Individual
ANUM SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1301 ORCHARD RD, OSWEGO, IL 60543-5013
(630) 882-3426
Mailing address
925 JENNA CT, GLEN ELLYN, IL 60137-6406
(920) 791-9243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034356
IL
Other
Enumeration date
06/21/2023
Last updated
06/26/2023
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