=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427017896
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RESPIRATORY CONSULTANTS, SC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2006
-----------------------------------------------------
Last Update Date | 11/02/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2088 OGDEN AVE SUITE 250
-----------------------------------------------------
City | AURORA
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60504-4376
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-499-7500
-----------------------------------------------------
Fax | 630-898-3970
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2088 OGDEN AVE SUITE 250
-----------------------------------------------------
City | AURORA
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60504-4376
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-499-7500
-----------------------------------------------------
Fax | 630-898-3970
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. AKHTAR K SIDDIQUI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 630-499-7500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0200X
-----------------------------------------------------
Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------