Active NPI
Mohammad Siddiqui
- Internal Medicine Physician
- Skokie, IL
National Provider Identifier
1427597822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MOHAMMAD SIDDIQUI
- Practice address
- 9669 Kenton Ave
Ste 305
Skokie, IL 60076-1266 - Phone
- (847) 679-6333
- NPI assigned
- Feb 17, 2017
- Last updated
- Feb 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad Siddiqui, M.D
- Title
- M.D
- Phone
- (847) 679-6333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
9669 Kenton Ave
Ste 305
Skokie, IL 60076-1266
Mailing address
9669 Kenton Ave
Ste 305
Skokie, IL 60076-1266
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01608395 | Other | IL | BCBS |
| 036093190 | Medicaid | IL | |
| 250210 | Other | IL | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
9669 Kenton Ave
Ste 305
Skokie, IL 60076
Phone (847) 679-6333
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1487630513
-
- Gerontology Nurse Practitioner
- Chicago, IL
- NPI 1124412168
-
- Nurse Practitioner
- Northbrook, IL
- NPI 1508278896
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1154307213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487289600000",
"number": "1427597822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9669 KENTON AVE",
"address_2": "STE 305",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9669 KENTON AVE",
"address_2": "STE 305",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761266",
"telephone_number": "847-679-6333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMMAD SIDDIQUI",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-17",
"last_updated": "2017-02-17",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "M.D",
"authorized_official_telephone_number": "847-679-6333",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01608395",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036093190",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "250210",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.