Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gulam M. T. Siddiqui, MD

Individual provider Emergency Medicine Physician · NPI 1720131188

Dr. Gulam M. T. Siddiqui, MD is a General Practice in Carrollton, Illinois. Graduated from Rush Medical College of Rush University in 1984, 42 years ago. Practices with Sanburg Emergency Group, PC, a 14-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
42
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

800 School St
Carrollton, IL 62016-1436
Phone: (217) 942-6946
Fax: (217) 942-9349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036-072949 (IL)
General Practice Physician Taxonomy 208D00000X · Licence 036072949 (IL)

Record details

NPI number1720131188
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Also practisesEMERGENCY MEDICINE, FAMILY PRACTICE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1984 (42 years in practice)
Group practice Sanburg Emergency Group, P.C. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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