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OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC
NPI 1699025239
Family Medicine - Adolescent Medicine in Lincolnwood, IL

Active since September 11, 2012CLIA 14D2069959 · Microscopy
6501 N LINCOLN AVE, LINCOLNWOOD, IL 60712(847) 242-1001(847) 739-7219 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omni Primary Care And Aesthetic Medicine Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC (NPI 1699025239) is a healthcare organization registered as an adolescent medicine in Lincolnwood, Illinois and active in the NPI registry since September 2012. The organization holds a CLIA Microscopy certificate valid through December 5, 2027 and lists Juwaria Osmani Siddiqui, Doctor, as its authorized official.

NPPES Registry Identity

NPI1699025239
Entity TypeOrganization
Primary Taxonomy207QA0000X
Legal Business NameOMNI PRIMARY CARE AND AESTHETIC MEDICINE SC
Location Address6501 N LINCOLN AVELincolnwood, IL 60712-3925
Mailing Address6501 N Lincoln AveLincolnwood, IL 60712-3925 · (847) 242-1001 · Fax (847) 739-7219
Phone(847) 242-1001
Fax(847) 739-7219
Organization SubpartNo
Authorized OfficialJuwaria Osmani SiddiquiDoctor · (847) 242-1001
Enumeration DateSeptember 11, 2012
Last NPPES UpdateNovember 7, 2024
NPPES CertifiedNovember 7, 2024
✔ NPI 1699025239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
License✔ Licensed in IL · 036122637
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Also ListedPediatricsTaxonomy 208000000X
6501 N LINCOLN AVE, Lincolnwood, IL 60712
Open in Google Maps ↗

Other Identifiers 1

Medicaid036122637IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2069959

Omni Primary Care And Aesthetic Medicine S C · Lincolnwood, IL
Active · expires Dec 5, 2027
CLIA Number14D2069959
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorJuwaria Siddiqui M D
Laboratory Phone(847) 242-1001
Laboratory LocationOmni Primary Care And Aesthetic Medicine S C6501 N Lincoln Ave, Lincolnwood, IL 60712
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUWARIA O SIDDIQUI M.D
Family Medicine
6501 N LINCOLN AVE
LINCOLNWOOD, IL 60712
Cook County (847) 242-1001
DR. SYED ABDUR RAHIM MD
Psychiatry & Neurology (Psychiatry)
6501 N LINCOLN AVE
LINCOLNWOOD, IL 60712
Cook County (847) 287-4505
SYIHA LTD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6501 N LINCOLN AVE
LINCOLNWOOD, IL 60712
Cook County (847) 287-4505
JEANA MANAAY LANG M.D.
Pediatrics
6501 N LINCOLN AVE, LINCOLNWOOD MEDICAL CENTER
LINCOLNWOOD, IL 60712
Cook County (847) 242-1001
OMNI HEALTH PC
Family Medicine
6501 N LINCOLN AVE
LINCOLNWOOD, IL 60712
Cook County (773) 469-2336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omni Primary Care And Aesthetic Medicine Sc's NPI number?

The NPI number for Omni Primary Care And Aesthetic Medicine Sc is 1699025239. It was assigned to this organization in the NPPES registry on September 11, 2012.

Where is Omni Primary Care And Aesthetic Medicine Sc located?

Omni Primary Care And Aesthetic Medicine Sc is located at 6501 N Lincoln Ave, Lincolnwood, IL 60712. The listed phone number is (847) 242-1001.

What is Omni Primary Care And Aesthetic Medicine Sc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Does Omni Primary Care And Aesthetic Medicine Sc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2069959) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Omni Primary Care And Aesthetic Medicine Sc was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.