Active NPI
Zaki A Siddiqui, M.D.
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1366534729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036100955
- Practice address
- 2515 W Lawrence Ave
Chicago, IL 60625-3679 - Phone
- (773) 989-3344
- Fax
- (773) 989-8458
- NPI assigned
- Sep 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036100955 | IL | Primary |
Addresses
Primary practice location
2515 W Lawrence Ave
Chicago, IL 60625-3679
Mailing address
2515 W Lawrence Ave
Chicago, IL 60625-3679
Phone (773) 989-3344
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036100955 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Center for Pain Control LLC | Current | Accepting new patients | |
| Omni Health PC | Pediatrics | Past | Accepting new patients |
| Omni Health PC | Pediatrics | Past | Accepting new patients |
Locations
6501 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 242-1001
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1255487641
-
- Pediatrics Physician
- Chicago, IL
- NPI 1518244573
-
- Pain Medicine (Anesthesiology) Physician
- Michigan City, IN
- NPI 1437556941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1366534729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 W LAWRENCE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253679",
"telephone_number": "773-989-3344",
"fax_number": "773-989-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 W LAWRENCE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253679",
"telephone_number": "773-989-3344",
"fax_number": "773-989-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "ZAKI",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036100955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.