Individual
YOUSHA BIN KHALID SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(815) 222-8919
Mailing address
2639 WENDY LN, ROCKFORD, IL 61109-1841
(815) 222-8919
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
135.001140
IL
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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