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NPI Code Detail

MEDICARE: DR. MAHWASH FATIMA SIDDIQUI M.D

MEDICARE: DR. MAHWASH FATIMA SIDDIQUI M.D
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
1207R00000XInternal Medicine Physician125069419IL
2207RE0101XEndocrinology, Diabetes & Metabolism Physician036150022IL

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 : 1396291183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAHWASH FATIMA SIDDIQUI M.D
Provider Business Mailing Address
First Line : 747 W MERYLS CT
Second Line :
City : PALATINE
State : IL
Zip : 60074-1053
Country : US
Telephone Number : 847-807-9648
Fax Number :
Provider Business Practice Location Address
First Line : 2701 W 68TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-1813
Country : US
Telephone Number : 708-884-7350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 01/07/2026

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