Active NPI
Zain S Talukdar, MD
- Pediatrics Physician
- Bradley, IL
National Provider Identifier
1083302624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036178817
- Practice address
- 400 S Kennedy Dr Ste 900
Bradley, IL 60915-2683 - Phone
- (815) 936-8963
- Fax
- (815) 937-7652
- NPI assigned
- May 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036178817 | IL | Primary |
| Pediatrics Physician | 208000000X | 125.081454 | IL |
Addresses
Primary practice location
400 S Kennedy Dr Ste 900
Bradley, IL 60915-2683
Mailing address
400 S Kennedy Dr Ste 900
Bradley, IL 60915-2683
Phone (815) 936-8963
Other practice location 1
5841 S Maryland Ave # Mc8016
Chicago, IL 60637-1443
Phone (773) 702-6435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Rochester School of Medicine and Dentistry, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 S Kennedy Dr
Suite 900
Bradley, IL 60915-2683
717 S Clark St
Unit 806
Chicago, IL 60605-1798
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036178817 | IL | MD | Pediatrics Physician |
| 125.081454 | IL | MD | Pediatrics Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1083302624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S KENNEDY DR STE 900",
"city": "BRADLEY",
"state": "IL",
"postal_code": "609152683",
"telephone_number": "815-936-8963",
"fax_number": "815-937-7652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S KENNEDY DR STE 900",
"city": "BRADLEY",
"state": "IL",
"postal_code": "609152683",
"telephone_number": "815-936-8963",
"fax_number": "815-937-7652"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave # Mc8016",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "773-702-6435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALUKDAR",
"first_name": "ZAIN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-01",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036178817",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.081454",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.