Active NPI
Norman H Siddiqui
- Clinical Pathology/Laboratory Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- Practice address
- 1740 W Taylor St
Chicago, IL 60612-7232 - Phone
- (866) 600-2273
- NPI assigned
- Aug 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | IL | Primary |
Addresses
Primary practice location
1740 W Taylor St
Chicago, IL 60612-7232
Mailing address
809 S Marshfield Ave
9TH Floor (M/C 732)
Chicago, IL 60612-4305
Phone (312) 996-7699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 N Convent St
Suite 1
Bourbonnais, IL 60914-1081
Phone (815) 937-5200
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036097784 | IL | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pathologists P C | Current | Accepting new patients | |
| University Pathology Diagnostics SC | Current | Accepting new patients | |
| Digestive Diseases Consultants of Kankakee, SC | Current | Accepting new patients | |
| Gi Partners of Illinois, PLLC | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
1615 N Convent St
Ste 1
Bourbonnais, IL 60914
Phone (815) 602-8253
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
1880 W Winchester Rd
Ste 201
Libertyville, IL 60048
Phone (847) 247-0187
1890 Silver Cross Blvd
Ste 225
New Lenox, IL 60451
Phone (815) 937-5200
200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201
5700 Southwyck Blvd
Toledo, OH 43614
Interoperability endpoints
- noman.siddiqui.1@15486.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Bourbonnais, IL
- NPI 1407966302
-
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
- NPI 1003890534
-
- Gastroenterology Physician
- Libertyville, IL
- NPI 1548613995
-
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
- NPI 1275088130
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982710216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 S MARSHFIELD AVE",
"address_2": "9TH FLOOR (M/C 732)",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124305",
"telephone_number": "312-996-7699",
"fax_number": "312-996-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127232",
"telephone_number": "866-600-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "NORMAN",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.