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Dr. Mohammed S. Siddiqui, MD

in Lombard, IL. Individual provider (NPI-1).

NPI number1639456122
StatusActive
Last updated in NPPESNov 20, 2025

Details

NPI
1639456122
Entity type
Individual (NPI-1)
Name
Dr. Mohammed S. Siddiqui
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 10, 2011
Certification date
Nov 20, 2025
Last updated
Nov 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0805X 036-131386ILYes

Practice location

477 E Butterfield Rd Ste 102
Lombard, IL 60148-4880

Phone 630-528-3835 · Fax 630-528-3837

Mailing address

477 E Butterfield Rd Ste 102
Lombard, IL 60148-4880

Phone 630-528-3835 · Fax 630-528-3837

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