Provider Demographics
NPI:1134018211
Name:SIDDIQUI, HUDA TAQDEES (MD)
Entity type:Individual
Prefix:
First Name:HUDA
Middle Name:TAQDEES
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1021 DES PLAINES AVE APT 304
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60130-2139
Mailing Address - Country:US
Mailing Address - Phone:464-244-2937
Mailing Address - Fax:
Practice Address - Street 1:2160 S 1ST AVE BLDG 3100
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-3145
Practice Address - Fax:708-216-5446
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125086375207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty