Mohammad Siddiqui MD LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOHAMMAD SIDDIQUI MD LTD

Practice address

9669 Kenton Ave
Ste 404
Skokie, IL 60076-1266

Phone

(847) 679-6333

Fax

(847) 679-6343

NPI assigned

Feb 25, 2014

Last updated

Feb 25, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammad Siddiqui, MDNPI 1487630513

Title

MD

Phone

(847) 679-6333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

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.

• Mohammad A Siddiqui, MD

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1487630513
  Medicare reassignment NPD Authorized official
• Amit Gandhi, FNP-C

  • Family Nurse Practitioner
  • Rolling Meadows, IL
  • NPI 1548711971
  Medicare reassignment NPD
• Katrina Margaret Keithley, PA-C

  • Physician Assistant
  • Skokie, IL
  • NPI 1578932620
  Medicare reassignment
• Katie Genevieve Dcruz, AGNP-C

  • Gerontology Nurse Practitioner
  • Chicago, IL
  • NPI 1124412168
  NPD
• Jack Morgan, MD

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1154307213
  NPD
• Barbara J Brotine, MD

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1518945146
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1467877605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE",
            "address_2": "STE 404",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761266",
            "telephone_number": "847-679-6333",
            "fax_number": "847-679-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE",
            "address_2": "STE 404",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761266",
            "telephone_number": "847-679-6333",
            "fax_number": "847-679-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD SIDDIQUI MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-679-6333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093190",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anastasia Lea Mlnarik, MD
• Modern Mindfulness
• Tenzin Moenkyi
• Erdenetsetseg Mogoltsog, LAC
• Mohammad Siddiqui
• Stacy Monaco, PT
• Monique Cleminson, Psy.D., P.C.
• Anne P Montague, PHD
• Gregory Monteclaro
• Elizabeth Montgomery, NP-C

• Internal Medicine Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.