Alia Siddiqi,M.D,S.C

LBN: Alia Siddiqi,M.D,S.C
Alia Siddiqi,M.D,S.C is an health care organization with primary practice located at 4646 N Marine Dr Ste 5500A , Chicago IL 60640-5759. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Alia Siddiqi,M.D,S.C can be contacted via phone (773) 561-1574, or through Siddiqi, Alia via phone (773) 561-1574.

Contact Information

Primary practice address
4646 N Marine Dr Ste 5500A Chicago IL 60640-5759
Phone: (773) 561-1574
Fax: (773) 564-5829
Website:
Map and Directions
Authorized official contact:
Name: Siddiqi, Alia Doctor of Medicine (MD)
Phone: (773) 561-1574

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1659685873
LBN Legal business name Alia Siddiqi,M.D,S.C
DBA Doing business as Alia Siddiqi,M.D,S.C
Authorized official Siddiqi, Alia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2010
Last updated Jul 29th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659685873 NPPES
Illinois MEDICAID 036052692

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