| Dr Irshad Ahmed Siddiqui, MD | |
|
1801 W Windsor Rd, Champaign, IL 61822-6217 | |
| (217) 366-8130 | |
| Not Available |
| Full Name | Dr Irshad Ahmed Siddiqui |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 1801 W Windsor Rd, Champaign, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063640639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125056883 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christie Clinic, Pllc | 7719899319 | 210 |
| Conviva Medical Center Management, Llc | 4284717422 | 491 |
| Entity Name | Christie Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Irshad Ahmed Siddiqui, MD 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-8130 | Dr Irshad Ahmed Siddiqui, MD 1801 W Windsor Rd, Champaign, IL 61822-6217 Ph: (217) 366-8130 |
Elizabeth A Ackerson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6203 | |
Dr. Corinne E Kohler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558 | |
Dr. Kyle Alan Cassidy-wescott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6203 | |
John R Sellett, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 W Curtis Road, Family Medicine/convenient Care, Champaign, IL 61822 Phone: 217-365-6201 Fax: 217-326-1234 | |
Steve Gentry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6201 Fax: 217-326-4003 | |
Lori R Jackson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6201 Fax: 217-326-4003 |