Provider Demographics
NPI:1407032170
Name:SIDDIQUI, UZMA (CSA)
Entity Type:Individual
Prefix:MRS
First Name:UZMA
Middle Name:
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 MILFORD CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-6150
Mailing Address - Country:US
Mailing Address - Phone:630-818-6681
Mailing Address - Fax:630-596-8899
Practice Address - Street 1:1203 MILFORD CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-6150
Practice Address - Country:US
Practice Address - Phone:630-778-9686
Practice Address - Fax:630-778-9686
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-12
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant