Provider Demographics
NPI:1588858930
Name:SIDDIQI, ALVIA HABEEB (MD)
Entity Type:Individual
Prefix:DR
First Name:ALVIA
Middle Name:HABEEB
Last Name:SIDDIQI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3100 TOWN SQUARE DR
Mailing Address - Street 2:APT 208
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-2665
Mailing Address - Country:US
Mailing Address - Phone:224-735-3215
Mailing Address - Fax:
Practice Address - Street 1:126 BIESTERFILED ROAD
Practice Address - Street 2:ABMG
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007
Practice Address - Country:US
Practice Address - Phone:847-981-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125-049439207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine