{"npi":"1770577785","type":"NPI-1","status":"active","name":{"display":"Nadeem Siddiqui MD","other":[],"first":"NADEEM","last":"SIDDIQUI","credential":"MD"},"specialty":{"primary_taxonomy":"207RG0100X","primary_taxonomy_description":"Gastroenterology","slug":"gastroenterology","schema_org_specialty":"Gastroenterologic","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":false,"state":"WI","license":"35007"},{"code":"207RG0100X","description":"Gastroenterology","primary":true,"state":"IL","license":"036175750"}]},"addresses":[{"purpose":"LOCATION","street_1":"4309 W MEDICAL CENTER DR STE B202","city":"MCHENRY","state":"IL","postal_code":"600508417","country_code":"US","phone":"8475356083","fax":"8154552789"},{"purpose":"MAILING","street_1":"1726 SHAWANO AVE","city":"GREEN BAY","state":"WI","postal_code":"543033216","country_code":"US","phone":"9204964700"}],"license":{"state":"IL","number":"036175750"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"33328600","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20061018000040","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"WI","pac_id":"6507862315"},{"enrlmt_id":"I20250714000575","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"IL","pac_id":"6507862315"}]},"enumeration_date":"2005-09-06","last_updated":"2025-07-03","_meta":{"source":"NPPES","snapshot_date":"2025-07-03","doc_url":"https://findmynpi.com/api"}}