Omni Health PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036122637 Issued in IL

Legal business name

OMNI HEALTH PC

Doing business as

Lincolnwood Medical Center

Practice address

6501 N Lincoln Ave
Lincolnwood, IL 60712-3925

Phone

(773) 469-2336

NPI assigned

Jun 13, 2011

Last updated

Jun 13, 2011By 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

Dr. Zaki Siddiqui, M.DNPI 1366534729

Title

Owner

Phone

(773) 469-2336

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Lincolnwood Medical Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lincoln Square Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Omni Health PC

  dba Lincoln Square Medical Center

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1518244573
  NPD tax ID
• Omni Health.P.C

  dba Lincoln square medical center

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1255487641
  NPD tax ID

Locations

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.

• Zaki A Siddiqui, M.D.

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1366534729
  NPD (past) Authorized official

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1881989382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123925",
            "telephone_number": "773-469-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123925",
            "telephone_number": "773-469-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "ZAKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-469-2336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036122637",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036111750",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036100955",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "IL",
            "license": "036126888",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100955",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincolnwood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose David Obrien, COTA/L
• Kayla Ockrim
• Onyinye Ijemma Odumegwu-Ojukwu
• Luca Senam Oh, D.C.
• Christopher Michael Olesen, PTA
• Omni Primary Care and Aesthetic Medicine SC
• One Step Clinical Services Inc
• Onsite Durable Medical Equipment Inc. (Onsite Durable Medical Equipment)
• Onsite Health Ancillary Services
• Onsite Health Specialty Physicians, Inc

• Family Medicine Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.