Physician Compare National (NPI:1952749426)

HEALTHCARE PROVIDER: NYAL SIDDIQI D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952749426
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638475148
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200818001476
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIDDIQI
	Individual professional last name
Provider First Name	NYAL
	Individual professional first name
Provider Middle Name	Z
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, DOWNERS GROVE
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	INFECTIOUS DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	METRO INFECTIOUS DISEASE CONSULTANTS LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3072425784
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	208
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	610 S MAPLE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 4050
	Group Practice or individual's line 2 address
City	OAK PARK
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	603041091
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7083830943
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y