Active NPI
Alia Siddiqi,M.D,S.C
- Specialist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ALIA SIDDIQI,M.D,S.C
- Doing business as
- Alia Siddiqi,M.D,S.C
- Practice address
- 4646 N Marine Dr Ste 5500a
Chicago, IL 60640-5759 - Phone
- (773) 561-1574
- Fax
- (773) 564-5829
- NPI assigned
- Jul 29, 2010
- Last updated
- Jul 29, 2010
- 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
- Dr. Alia Siddiqi, M.D
- Title
- President
- Phone
- (773) 561-1574
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4646 N Marine Dr Ste 5500a
Chicago, IL 60640-5759
Mailing address
7017 N Kilbourn Ave
Lincolnwood, IL 60712-2216
Phone (847) 673-8459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036052692 | Medicaid | IL |
Other names 1
- ALIA SIDDIQI,M.D,S.C
National Provider Directory
National Provider DirectoryLocations
4646 N Marine Dr
#5500A
Chicago, IL 60640
Phone (773) 561-1574
4646 N Marine Dr
Ste 5500A
Chicago, IL 60640
Phone (773) 561-1574
5310 N Sheridan Rd
#A
Chicago, IL 60640
Phone (773) 561-1574
5310 N Sheridan Rd
Ste A
Chicago, IL 60640
Phone (773) 561-1574
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1225148000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280361600000",
"number": "1659685873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7017 N KILBOURN AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122216",
"telephone_number": "847-673-8459",
"fax_number": "773-564-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 N MARINE DR STE 5500A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405759",
"telephone_number": "773-561-1574",
"fax_number": "773-564-5829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIA SIDDIQI,M.D,S.C",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-29",
"last_updated": "2010-07-29",
"status": "A",
"authorized_official_last_name": "SIDDIQI",
"authorized_official_first_name": "ALIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-561-1574",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036052692",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ALIA SIDDIQI,M.D,S.C",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.