Provider Demographics
NPI:1770777377
Name:SIDDIQUI, RUMANA FARHEEN (MD)
Entity type:Individual
Prefix:
First Name:RUMANA
Middle Name:FARHEEN
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RUMANA
Other - Middle Name:FARHEEN
Other - Last Name:SIDDIQUI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1585 N BARRINGTON RD STE 306
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-5019
Mailing Address - Country:US
Mailing Address - Phone:847-755-3252
Mailing Address - Fax:847-755-3250
Practice Address - Street 1:2010 S ARLINGTON HEIGHTS RD STE 110
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4100
Practice Address - Country:US
Practice Address - Phone:847-755-3252
Practice Address - Fax:847-755-3250
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.124650207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036124650Medicaid
ILIL4895Medicare UPIN