MEDICARE: SIGNATURE MEDICAL GROUP, INC

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
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235430851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNATURE MEDICAL GROUP, INC

Provider Business Mailing Address
First Line	:	1585 N BARRINGTON RD STE 306
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-5019
Country	:	US
Telephone Number	:	847-755-3252
Fax Number	:	847-755-3250

Provider Business Practice Location Address
First Line	:	2010 S ARLINGTON HEIGHTS RD STE 110
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4100
Country	:	US
Telephone Number	:	847-258-4978
Fax Number	:	877-701-6974

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RUMANA J. SIDDIQUI
Credential	:	M.D.
Telephone Number	:	847-258-4978

Provider Enumeration Date	:	11/12/2010
Last Update Date	:	05/15/2024

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Directions to “SIGNATURE MEDICAL GROUP, INC ” Practice Location

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