JENNY M. SIDDIQI (PSYD) – Clinical Psychologist, NPI 1053755538

Clinical Psychologist

JENNY M. SIDDIQI (PSYD) is a healthcare provider. based in Libertyville, Illinois. specializing in Clinical Psychologist. They hold the professional credentials PSYD. They hold a License No. 071009384 (IL). The NPI Number for JENNY M. SIDDIQI (PSYD) is 1053755538

Main info

Female

13 Years Of Experience

Accepts Medicare Assignment

Name

JENNY M. SIDDIQI (PSYD)

NPI

1053755538

Phone

(847) 549-1189

Address

1800 HOLLISTER DR

Enumeration Date

26 April 2013

Last Update Date

25 January 2017

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8475491189

Graduation Year

2013 (13 years ago)

PAC ID

5496037566

Group Practice PAC ID

2163523903

Professional Enrollment ID

I20170125001328

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience40

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for JENNY M. SIDDIQI (PSYD)

1800 HOLLISTER DR
SUITE 201
LIBERTYVILLE, IL 600485263
Phone: (847) 549-1189
Fax: (847) 932-4066
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2163523903View full group profile

Name	Specialty	State
CHRISTINE V. PETERSEN (PSY D)	Clinical Psychologist	IL
IZABELLA SISARICA (LCPC)	Mental Health Counselor	IL
DR. BENJAMIN MICHAELS (PSYD)	Clinical Psychologist	IL
REBECCA WEITZ-RICE (LCSW)	Clinical Social Worker	IL
DR. DEBRA PETERSEN WOLFF (PSY.D.)	Clinical Psychologist	IL
CAROL L DREYER (LCPC)	Mental Health Counselor	IL
DR. MARISA MARIA KUNZ (PSY.D.)	Clinical Psychologist	IL
DANA BETH COHEN (LCSW)	-	IL
MS. ELLEN RODMAN-STONE (LCPC)	Mental Health Counselor	IL
DR. JAUREN D KELLY (PSY.D.)	Clinical Psychologist	WI