Individual provider Active NPI

Syed Waliuddin, M.D.

  • Psychiatry Physician
  • Elgin, IL
National Provider Identifier
1104046630
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036119726 Issued in IL
Practice address
75 Market St
Suite 14
Elgin, IL 60123-5093
Phone
(847) 697-6290
Fax
(847) 697-0252
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 50282 WI
Psychiatry Physician 2084P0800X 50282 WI
Psychiatry Physician 2084P0800X 036119726 IL Primary
Psychiatry Physician 2084P0800X 01097770A IN

Addresses

Primary practice location

75 Market St
Suite 14
Elgin, IL 60123-5093

Mailing address

75 Market St
Suite 14
Elgin, IL 60123-5093
Phone (847) 697-6290

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swaliuddin228471@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080924000549 IL Practitioner - PsychiatryPractitioner - General Practice 1658463534 Reassigns benefits to 4 organizations
I20251013002316 IN Practitioner - Psychiatry 1658463534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
BHC Streamwood Hospital IncGroup PAC ID 1759291461, 13 clinicians
Loyola Medical Group LLCGroup PAC ID 6305109547, 124 clinicians

Practice addresses (Care Compare)

1400 E Irving Park Rd
Streamwood, IL 60107-3201
Phone (630) 837-9000

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-0700

75 Market St
Suite 12
Elgin, IL 60123-5061
Phone (847) 697-6290

Hospital & facility affiliations

  • Macneal Hospital Hospital, Berwyn, IL, CCN 140054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50282WIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Streamwood Hospital Inc. CurrentSince Jun 16, 2019 Accepting new patients
Ecker Center for Behavioral Health CurrentSince Jan 17, 2014 Accepting new patients
Loyola Medical Group LLC CurrentSince Sep 26, 2023 Accepting new patients
Ecker Center for Behavioral Health Psychiatry Current Accepting new patients
Ecker Center for Behavioral Health CurrentSince Jan 17, 2014 Accepting new patients
Acute Behavioral Health Services, P.C. Psychiatry CurrentSince Sep 28, 2025 Accepting new patients
County of Milwaukee Psychiatry Past Accepting new patients
Associates in Psychiatry and Counseling, PC Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430

1845 Grandstand Pl
Elgin, IL 60123

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

1400 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 483-5578

1360 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 349-7800

3733 Rome Dr
Lafayette, IN 47905
Phone (765) 446-9394

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1104046630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MARKET ST",
            "address_2": "SUITE 14",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235093",
            "telephone_number": "847-697-6290",
            "fax_number": "847-697-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MARKET ST",
            "address_2": "SUITE 14",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235093",
            "telephone_number": "847-697-6290",
            "fax_number": "847-697-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALIUDDIN",
        "first_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "50282",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "50282",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036119726",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01097770A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swaliuddin228471@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 Market St",
            "address_2": "Suite 14",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601235093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.