Organization
ILAHI FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUHAIL AHMED SIDDIQUI MD (PRESIDENT)
(773) 681-0260
Entity
Organization
Contact information
Practice address
6374 N LINCOLN AVE, SUITE 202, CHICAGO, IL 60659-1275
(773) 681-0260
(773) 304-4415
Mailing address
3100 W COLUMBIA AVE, CHICAGO, IL 60645-4004
(773) 681-0260
(773) 304-4415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036092442
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092442
—
IL
Enumeration date
03/10/2011
Last updated
02/19/2013
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