Individual
NADEEM SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4309 W MEDICAL CENTER DR STE B202, MCHENRY, IL 60050-8417
(847) 535-6083
(815) 455-2789
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036175750
IL
207RG0100X
Gastroenterology Physician
35007
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33328600
—
WI
Enumeration date
09/06/2005
Last updated
07/03/2025
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