OrganizationActive
Omni Primary Care and Aesthetic Medicine Sc
NPI 1699025239 · Adolescent Medicine (Family Medicine) Physician · Lincolnwood, IL
Provider details
- NPI number
- 1699025239
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Juwaria Siddiqui, Doctor
Practice location
6501 N Lincoln Ave
Lincolnwood, IL 60712-3925
Phone: (847) 242-1001
Fax: (847) 739-7219
Mailing address
6501 N Lincoln Ave
Lincolnwood, IL 60712-3925
Registry dates
- Enumerated
- 2012-09-11
- Last updated
- 2024-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.