Organization
ALIA SIDDIQI,M.D,S.C
Active
Other names
ALIA SIDDIQI,M.D,S.C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIA SIDDIQI M.D (PRESIDENT)
(773) 561-1574
Entity
Organization
Contact information
Practice address
4646 N MARINE DR STE 5500A, CHICAGO, IL 60640-5759
(773) 561-1574
(773) 564-5829
Mailing address
7017 N KILBOURN AVE, LINCOLNWOOD, IL 60712-2216
(847) 673-8459
(773) 564-5829
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052692
—
IL
Enumeration date
07/29/2010
Last updated
07/29/2010
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