Healthcare Provider Details

I. General information

NPI: 1225700016
Provider Name (Legal Business Name): FARAAZ MOHAMMED SIDDIQUI PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 S ROSELLE RD
SCHAUMBURG IL
60193-2925
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 847-618-4340
  • Fax: 847-618-0220
Mailing address:
  • Phone: 847-570-2040
  • Fax: 847-733-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085010517
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: