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NPI Code Detail

MEDICARE: DR. SARIYA ZAIN SIDDIQI MD

MEDICARE: DR. SARIYA ZAIN SIDDIQI MD
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
1207Q00000XFamily Medicine Physician125.074099IL
2207QG0300XGeriatric Medicine (Family Medicine) Physician125.074099IL

General Provider Information

NPI Number : 1497314702
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARIYA ZAIN SIDDIQI MD
Provider Business Mailing Address
First Line : 7222 W CERMAK RD STE 700
Second Line :
City : NORTH RIVERSIDE
State : IL
Zip : 60546-1443
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7222 W CERMAK RD STE 700
Second Line :
City : NORTH RIVERSIDE
State : IL
Zip : 60546-1443
Country : US
Telephone Number : 708-660-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2019
Last Update Date : 06/29/2023

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Directions to “ DR. SARIYA ZAIN SIDDIQI MD” Practice Location

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