Momin Saulat Siddique (NPI# 1184852089, PAC ID# 2062727167) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1184852089 |
| PAC ID by PECOS | 2062727167 |
| Professional Enrollment ID | I20150819007111 |
| Full Name | Momin Saulat Siddique |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
| Address |
340 W Miller St Springfield IL 62702-4928 |
| Phone Number | 2175458000 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2365352820 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 340 W Miller St, Springfield, IL 62702-4928 | 2175458000 | SIU PHYSICIANS AND SURGEONS INC |
| 701 N 1st St, 7d, Springfield, IL 62702-4949 | 2175458000 | SIU PHYSICIANS AND SURGEONS INC |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
| Physicians | 259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Clouser | Nurse Practitioner | Siu Physicians and Surgeons Inc | 315 W Carpenter St, Springfield, IL 62702-4901 |
| Kristina Epplin Sondgeroth | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 400 N 9th St, 3rd Floor Clinic B, Springfield, IL 62702-5310 |
| Evans M Mutua | Nurse Practitioner | Siu Physicians and Surgeons Inc | 720 N Bond St, Springfield, IL 62702-4952 |
| Lori A Bland | Nurse Practitioner | Siu Physicians and Surgeons Inc | 102 W Kenwood Ave, Lowr Level, Decatur, IL 62526-4368 |
| Carmen A Orellana Martinez | Psychiatry | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Basar Cenik | Psychiatry | Siu Physicians and Surgeons Inc | 901 W Jefferson St, Springfield, IL 62702-4833 |
| Henry Olugbenga Adekola | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Kaylie A Caswell | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1100 E Lincolnshire Blvd, Suite 200, Springfield, IL 62703-5950 |
| Lorie Ann Sporrer | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Sara Beth Malone | Family Medicine | Siu Physicians and Surgeons Inc | 300 W Oak St, Carbondale, IL 62901-1413 |
| Street Address |
340 W MILLER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62702-4928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abhishek Kalidas Kulkarni | Cardiovascular Disease (cardiology) | Siu Physicians and Surgeons Inc | 340 W Miller St, Springfield, IL 62702-4928 |
| Kathy Jean Stark | Nurse Practitioner | Siu Physicians and Surgeons Inc | 340 W Miller St, Springfield, IL 62702-4928 |
| Ravishankar Hasanadka | Vascular Surgery | Siu Physicians and Surgeons Inc | 340 W Miller St, Springfield, IL 62702-4928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Speck | Chiropractic | 405 E Sangamon Ave, Springfield, IL 62702-1762 | |
| Ryan T Durocher | Chiropractic | 1244 E Sangamon Ave, Springfield, IL 62702-1854 | |
| Dana K Oliver | Chiropractic | Lincoln Chiropractic Clinic PC | 1244 E Sangamon Ave, Springfield, IL 62702-1854 |
| Casey Steven Sitko | Chiropractic | 205 N Grand W Ave, Springfield, IL 62702-2550 | |
| Steven M Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| John L Miller | Chiropractic | The Wellness Center S.c. | 203 N Grand Ave W, Springfield, IL 62702-2550 |
| Cody Derek Needham | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| Kyle James Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| Scott P Blomberg | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
| Andrew T Clark | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
| Find all physicians in zip 62702 | |||
| City | SPRINGFIELD |
| Zip Code | 62702 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SPRINGFIELD + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Momin Saulat Siddique.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.