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NPI Code Detail

MEDICARE: SAIFULLAH MOHAMMED SIDDIQUI M.D.

MEDICARE: SAIFULLAH MOHAMMED SIDDIQUI M.D.
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
1207R00000XInternal Medicine Physician036135970IL
2207RC0000XCardiovascular Disease Physician036135970IL
3207RI0011XInterventional Cardiology Physician4301108046MI
4207RI0011XInterventional Cardiology Physician036135970IL

General Provider Information

NPI Number : 1801187968
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAIFULLAH MOHAMMED SIDDIQUI M.D.
Provider Business Mailing Address
First Line : 3240 N LAKE SHORE DR
Second Line :
City : CHICAGO
State : IL
Zip : 60657-3954
Country : US
Telephone Number : 224-659-0585
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 866-600-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2011
Last Update Date : 05/26/2026

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