Omni Primary Care and Aesthetic Medicine SC
Omni Primary Care and Aesthetic Medicine SC is an Adolescent Medicine (Family Medicine) Physician in Lincolnwood, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
6501 N Lincoln AveLincolnwood, IL 60712-3925
Phone: (847) 242-1001
Fax: (847) 739-7219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0000X · Licence 036122637 (IL) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X |
Record details
| NPI number | 1699025239 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Juwaria Siddiqui — Doctor · (847) 242-1001 |
| NPI enumerated | September 11, 2012 |
| Last updated in NPPES | November 7, 2024 |
| Certification date | November 7, 2024 |
| Mailing address | 6501 N Lincoln Ave, Lincolnwood, IL 60712-3925 |