Siddique, Mohammad Tabraize

Siddique, Mohammad Tabraize is an individual health care provider with primary practice located at 2655 Warrenville Rd Ste 500 , Downers Grove IL 60515-5646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Siddique, Mohammad Tabraize can be contacted via phone (866) 949-0108.

Contact Information

Primary practice address
2655 Warrenville Rd Ste 500 Downers Grove IL 60515-5646
Phone: (866) 949-0108
Fax: (901) 436-1384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036117676 Illinois

Profile Details

NPI number 1144439456
LBN Legal business name Siddique, Mohammad Tabraize
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Mar 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144439456 NPPES
Illinois Other F100323989 GROUP MEDICARE PTAN

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