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MUHAMMAD Y SIDDIQ SC NPI 1376612630


NPI Information

NPI: 1376612630
Provider Name: MUHAMMAD Y SIDDIQ SC

Doing Business As: SUBURBAN PHYSICIANS SC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 14D2179625

Address:
1177 N HIGHLAND AVE STE 106
AURORA, IL
ZIP 60506
Phone: (630) 553-2545
Get Directions

MUHAMMAD Y SIDDIQ SC is a neurology psychiatry neurology in Aurora, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MUHAMMAD Y SIDDIQ SC NPI is 1376612630. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Suburban Physicians Sc.

The provider's business location address is:

1177 N HIGHLAND AVE STE 106
AURORA, IL
ZIP 60506-200
Phone: (630) 553-2545

The provider's authorized official is Muhammad Y Siddiq .
The authorized official title is Owner and has the following contact phone number (630) 553-2545.

The CLIA number assigned to this NPI record is 14D2179625 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 1/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology036098263ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036098263MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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