DR. IRSHAD AHMED SIDDIQUE (NPI# 1700888187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700888187 |
| Entity Type | Individual |
| Full Name | DR. IRSHAD AHMED SIDDIQUE |
| Credential | D.P.M. |
| Practice Address |
400 N Division St Harvard IL 60033-3061 |
| Practice Telephone | 8159437709 |
| Practice Fax Number | 8479317726 |
| Mailing Telephone | 8159437709 |
| Mailing Fax Number | 8479317726 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-11-12 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUECROSS BLUESHIELD | 0005632037 | 01 |
| Street Address |
400 N DIVISION ST |
| City | HARVARD |
| State | IL |
| Zip Code | 60033-3061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427435056 | Mclean Dental Clinic, P.C. | Clinic/Center | 400 N Division St, Harvard, IL 60033-3061 | 2015-05-04 |
| 1760437602 | Mclean Foot Clinic,p.c. | Podiatrist | 400 N Division St, Harvard, IL 60033-3061 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902962681 | Jon Karl Warnecke | Chiropractor | 30 N Ayer St, Harvard, IL 60033 | 2006-12-28 |
| 1164524336 | Timothy A Chrapkiewicz | Dentist | 604 N Division, Harvard, IL 60033 | 2006-09-01 |
| 1972584423 | Terri Lynne O'malley | Pediatrics | 5615 Irish Lane, Harvard, IL 60033 | 2005-11-10 |
| 1609869163 | Victor I Garber | Emergency Medicine | 901 Grant St, Harvard, IL 60033 | 2005-08-30 |
| 1972012060 | Jessica Crowell Bumpus | Nurse Practitioner | 62 N Ayer St, Harvard, IL 60033 | 2017-09-21 |
| 1093944324 | Imran Ali | Optometrist | 313 N Division St, Harvard, IL 60033 | 2009-07-08 |
| 1548276991 | Joseph P Mazzei | Emergency Medicine | 901 Grant St, Harvard, IL 60033 | 2006-07-31 |
| 1700392024 | Sandra Lee Knop | Speech-Language Pathologist | 1200 N Jefferson St, Harvard, IL 60033-1730 | 2017-12-21 |
| 1891805081 | James H Sullivan | Emergency Medicine | 901 Grant Street, Harvard, IL 60033-1821 | 2006-08-30 |
| 1629588660 | Margaret A. Pawlowski | Speech-Language Pathologist | 901 Grant St, Harvard, IL 60033-1821 | 2017-10-04 |
| Find all providers in zip 60033 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053329839 | Mykola Lisowsky | Podiatrist | 1819 N Division St, Harvard, IL 60033-3683 | 2006-08-04 |
| 1760437602 | Mclean Foot Clinic,p.c. | Podiatrist | 400 N Division St, Harvard, IL 60033-3061 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.