Active NPI
Quickmed, LLC
- Hematology & Oncology Physician
- Libertyville, IL
National Provider Identifier
1710234166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036086894
- Legal business name
- QUICKMED, LLC
- Practice address
- 1870 W Winchester Rd Ste 204
Libertyville, IL 60048-5360 - Phone
- (847) 680-1680
- Fax
- (847) 680-1868
- NPI assigned
- Aug 4, 2012
- 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. Sabet M Siddiqui, M.D.
- Title
- Managing Member
- Phone
- (847) 680-1680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036086894 | IL | Primary |
Addresses
Primary practice location
1870 W Winchester Rd Ste 204
Libertyville, IL 60048-5360
Mailing address
1870 W Winchester Rd Ste 204
Libertyville, IL 60048-5360
Phone (847) 680-1680
Other names 1
- Cancer Center
National Provider Directory
National Provider DirectoryLocations
1870 W Winchester Rd
Ste 204
Libertyville, IL 60048
Phone (847) 680-1680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344038400000",
"number": "1710234166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 W WINCHESTER RD STE 204",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485360",
"telephone_number": "847-680-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 W WINCHESTER RD STE 204",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485360",
"telephone_number": "847-680-1680",
"fax_number": "847-680-1868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUICKMED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-04",
"last_updated": "2012-08-04",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "SABET",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "847-680-1680",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036086894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cancer Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.