Siddique, Sohail Abid

Siddique, Sohail Abid is an individual health care provider with primary practice located at 415 N 9Th St Ste 6W100, Springfield IL 62702-5303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Siddique, Sohail Abid can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
415 N 9Th St Ste 6W100 Springfield IL 62702-5303
Phone: (217) 545-8000
Fax: (217) 545-4912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-122458 Illinois
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 036-122458 Illinois

Profile Details

NPI number 1992770101
LBN Legal business name Siddique, Sohail Abid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Dec 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992770101 NPPES
Illinois MEDICAID 036122458

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