Organization Active NPI

Quickmed, LLC

  • Hematology & Oncology Physician
  • Libertyville, IL
National Provider Identifier
1710234166
Registry record updated Aug 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036086894 Issued in IL
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

Updated by the provider on Aug 4, 2012

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.