Individual
DR. IRSHAD AHMED SIDDIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
400 N DIVISION ST, HARVARD, IL 60033-3061
(815) 943-7709
(847) 931-7726
Mailing address
400 N DIVISION ST, HARVARD, IL 60033-3061
(815) 943-7709
(847) 931-7726
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005632037
BLUECROSS BLUESHIELD
IL
Enumeration date
08/15/2005
Last updated
11/12/2007
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