| Nabeel Siddiqui, | |
|
305 W Jackson St, Suite 200, Carbondale, IL 62901-1474 | |
| (618) 536-6621 | |
| (618) 453-1102 |
| Full Name | Nabeel Siddiqui |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 11 Years |
| Location | 305 W Jackson St, Carbondale, 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 |
|---|---|---|---|
| 1154702116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125067480 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036-146676 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036-146676 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Taylorville Memorial Hospital | Taylorville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Decatur Memorial Hospital | 6204731144 | 155 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Pana Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
| Entity Name | Decatur Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
| Entity Name | Taylorville Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518170729 PECOS PAC ID: 8022914704 Enrollment ID: O20031211001049 |
| Entity Name | Sarah Bush Lincoln Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Nabeel Siddiqui, 305 W Jackson St, Suite 200, Carbondale, IL 62901-1474 Ph: (618) 536-6621 | Nabeel Siddiqui, 305 W Jackson St, Suite 200, Carbondale, IL 62901-1474 Ph: (618) 536-6621 |
Vineet Kumar, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479 | |
Dr. Vamsi Krishna Chilluru, M.B.B.S Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Cedar Ct, Carbondale, IL 62901 Phone: 618-529-2955 Fax: 618-457-7823 | |
Dr. Othniel Stephen Doolittle, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2250 N Illinois Ave, Carbondale, IL 62901 Phone: 618-833-1691 | |
Dr. Christopher James Hanson, M.D., M.B.A Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2250 Reed Station Pkwy Ste 305, Carbondale, IL 62901 Phone: 618-457-4999 Fax: 618-457-5099 | |
Andrew John Hossler, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 207 W Jackson St Ste 101, Carbondale, IL 62901 Phone: 618-457-6787 Fax: 618-351-4804 | |
Pamela Renee Milano, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 305 W Jackson St, Ste 200, Carbondale, IL 62901 Phone: 618-536-6621 Fax: 618-453-1102 | |
Marci I Moore-connelley, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-457-5200 Fax: 618-351-4820 |