FARAH SIDDIQUE (NP-C) – Family Nurse Practitioner, NPI 1417639501

FARAH SIDDIQUE (NP-C) is a healthcare provider. based in Morton grove, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. F07230564 (IL). The NPI Number for FARAH SIDDIQUE (NP-C) is 1417639501

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
FARAH SIDDIQUE (NP-C)
NPI
1417639501
Phone
(847) 778-1325
Address
308 CAPULINA CT
Enumeration Date
7 August 2023
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003588227
Graduation Year
2023 (3 years ago)
PAC ID
1951759364
Group Practice PAC ID
3678797966
Professional Enrollment ID
I20231127000249
Address ID
IL620343267GL4215X159X500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for FARAH SIDDIQUE (NP-C)

  • 308 CAPULINA CT

    MORTON GROVE, IL 600533111

    Phone: (847) 778-1325

    Type: Mailing

  • 1355 REMINGTON RD

    SCHAUMBURG, IL 601734832

    Phone: (872) 710-5116

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231127000249INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 60053)

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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: 3678797966View full group profile
NameSpecialtyState
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I use this page to confirm FARAH SIDDIQUE (NP-C)'s NPI?
Yes. FARAH SIDDIQUE (NP-C) is listed with NPI 1417639501 in the public NPI dataset.
Is FARAH SIDDIQUE (NP-C) listed as active for patients and plans?
The listing shows FARAH SIDDIQUE (NP-C) as active in the NPI system.
What taxonomy line describes FARAH SIDDIQUE (NP-C)?
For research purposes, treat FARAH SIDDIQUE (NP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is FARAH SIDDIQUE (NP-C) based?
FARAH SIDDIQUE (NP-C) is tied to Morton Grove, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about FARAH SIDDIQUE (NP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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