Siddiqui, Fraaz M
Siddiqui, Fraaz M is an sole proprietor health care provider with primary practice located at 1345 Ryan Pkwy , Algonquin IL 60102-4530. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Siddiqui, Fraaz M can be contacted via phone (847) 658-9555.Contact Information
Primary practice address
1345 Ryan Pkwy
Algonquin IL 60102-4530
Phone: (847) 658-9555
Fax: (847) 658-2167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 209016832 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209-016832 | Illinois |
Profile Details
| NPI number | 1427561844 |
|---|---|
| LBN Legal business name | Siddiqui, Fraaz M |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2017 |
| Last updated | May 5th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427561844 | NPPES |
| Illinois | Other | 209-016832 | ANP LICENSE NUMBER |
| Illinois | Other | 041-420139 | ANP LICENSE NUMBER |
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