MEDICARE: ERUM SIDDIQUI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051.299251	IL

General Provider Information

NPI Number	:	1184577884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERUM SIDDIQUI

Provider Business Mailing Address
First Line	:	1798 ARLINGTON LN
Second Line	:
City	:	GLENDALE HTS
State	:	IL
Zip	:	60139-1892
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 E NORTH AVE
Second Line	:
City	:	GLENDALE HTS
State	:	IL
Zip	:	60139-3473
Country	:	US
Telephone Number	:	917-340-4428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “ ERUM SIDDIQUI ” Practice Location

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