Individual
MAHNIYA SADIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
2989 ELTHAM PL, DECATUR, GA 30033-3252
(678) 372-7095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.150276
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036.150276
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2016
Last updated
04/19/2023
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