Juwaria O Siddiqui, M.D
Family Medicine in Lincolnwood, IL. Individual provider (NPI-1).
NPI number1003063264
StatusActive
Last updated in NPPESNov 7, 2024
Details
- NPI
- 1003063264
- Entity type
- Individual (NPI-1)
- Name
- Juwaria O Siddiqui
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2008
- Certification date
- Nov 7, 2024
- Last updated
- Nov 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036122637 | IL | Yes |
| 207Q00000X | Family Medicine | 125052070 | IL |
Practice location
6501 N Lincoln AveLincolnwood, IL 60712-3925
Phone 847-242-1001
Mailing address
6501 N Lincoln AveLincolnwood, IL 60712-3925
Phone 773-983-9771
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