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NPI Code Detail

MEDICARE: MS. ALIA NASRIN SIDDIQI MD

MEDICARE:  MS. ALIA NASRIN SIDDIQI  MD
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
1207V00000XObstetrics & Gynecology Physician036052692IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225148000
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALIA NASRIN SIDDIQI MD
Provider Business Mailing Address
First Line : 7017 N KILBOURN AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712
Country : US
Telephone Number : 773-561-1574
Fax Number : 773-564-5215
Provider Business Practice Location Address
First Line : 5310 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60640-2514
Country : US
Telephone Number : 773-561-1574
Fax Number : 773-564-5215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 04/26/2012

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Directions to “ MS. ALIA NASRIN SIDDIQI MD” Practice Location

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