Organization
S S BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED S SIDDIQUI MD (PRESIDENT)
(630) 290-2246
Entity
Organization
Contact information
Practice address
477 E BUTTERFIELD RD STE 102, LOMBARD, IL 60148-4880
(630) 528-3835
(630) 528-3837
Mailing address
1415 S ARDMORE AVE UNIT 7020, VILLA PARK, IL 60181-5871
(630) 317-4360
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036-131386
IL
2084P0805X
Geriatric Psychiatry Physician
Primary
036-131386
IL
Other
Enumeration date
08/23/2017
Last updated
05/31/2023
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