Provider Demographics
NPI:1427017896
Name:RESPIRATORY CONSULTANTS, SC
Entity Type:Organization
Organization Name:RESPIRATORY CONSULTANTS, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AKHTAR
Authorized Official - Middle Name:K
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-499-7500
Mailing Address - Street 1:2088 OGDEN AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4376
Mailing Address - Country:US
Mailing Address - Phone:630-499-7500
Mailing Address - Fax:630-898-3970
Practice Address - Street 1:2088 OGDEN AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4376
Practice Address - Country:US
Practice Address - Phone:630-499-7500
Practice Address - Fax:630-898-3970
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESPIRATORY CONSULTANTS, SC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-22
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL356090Medicare ID - Type Unspecified
IL702770Medicare ID - Type Unspecified