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General NPI Number Information
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NPI Number | 1376612630
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Entity Type | Organization
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Legal Business Name | MUHAMMAD Y SIDDIQ SC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 4075 FOX VALLEY CENTER DR, UNIT 3
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City | AURORA
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State | IL
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Zip | 60504-4108
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Country | US
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Telephone | 630-978-1111
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Fax | 630-978-1180
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Provider Business Mailing Address
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Address Line | 4075 FOX VALLEY CENTER DR, UNIT 3
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City | AURORA
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State | IL
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Zip | 60504-4108
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Country | US
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Telephone | 630-978-1111
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Fax | 630-978-1180
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Authorized Official
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Title or Position | OWNER
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Name | DR. MUHAMMAD Y SIDDIQ
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Credential | M.D.
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Telephone | 630-553-2545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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