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Omni Primary Care and Aesthetic Medicine Sc

Adolescent Medicine (Family Medicine) Physician in Lincolnwood, IL · enumerated 2012 · authorized official Juwaria Siddiqui, Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699025239

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Registry record

Entity type Organization (Type 2)
Legal business name Omni Primary Care and Aesthetic Medicine Sc
Practice address 6501 N Lincoln Ave, Lincolnwood, IL, 60712
Fax (847) 739-7219
Enumeration date Sep 11, 2012
Last updated in NPPES Nov 7, 2024

Taxonomy & classification

207QA0000X Adolescent Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 036122637 (IL) Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Juwaria Siddiqui
Title Doctor

Other identifiers

Identifier Type State Issuer
036122637 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-11-07. Verify at npiregistry.cms.hhs.gov.
Where is Omni Primary Care and Aesthetic Medicine Sc located?
The practice location on file with NPPES is in Lincolnwood, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-07.