Active NPI
Muhammad Y Siddiq SC
Doing business as Suburban Physicians SC
- Neurology Physician
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- MUHAMMAD Y SIDDIQ SC
- Doing business as
- Suburban Physicians SC
- Practice address
- 4075 Fox Valley Center Dr, Unit 3
Aurora, IL 60504-4108 - Phone
- (630) 978-1111
- Fax
- (630) 978-1180
- NPI assigned
- Nov 8, 2006
- Last updated
- Oct 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Muhammad Y Siddiq, M.D.
- Title
- Owner
- Phone
- (630) 553-2545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Pediatrics Physician | 208000000X | |||
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
4075 Fox Valley Center Dr, Unit 3
Aurora, IL 60504-4108
Mailing address
4075 Fox Valley Center Dr, Unit 3
Aurora, IL 60504-4108
Phone (630) 978-1111
Other practice location 1
1177 N Highland Ave Ste 106
Aurora, IL 60506-2200
Phone (630) 553-2545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036098263 | Medicaid | IL |
Other names 1
- Suburban Physicians SC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.practicefusion.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2179625 | Suburban Physicians S C | Certificate of waiver | Feb 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
1177 N Highland Ave
Ste 106
Aurora, IL 60506
Phone (630) 553-2545
4075 Fox Valley Center Dr
Aurora, IL 60504
129 Commercial Dr
Unit 3
Yorkville, IL 60560
Phone (630) 978-1111
88 W Countryside Pkwy
Ste C
Yorkville, IL 60560
Phone (630) 553-2545
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Aurora, IL
- NPI 1134140551
-
- Family Nurse Practitioner
- Aurora, IL
- NPI 1265906523
-
- Obstetrics & Gynecology Physician
- Aurora, IL
- NPI 1558479113
-
- Pediatrics Physician
- Aurora, IL
- NPI 1083714091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696982400000",
"number": "1376612630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 FOX VALLEY CENTER DR, UNIT 3",
"city": "AURORA",
"state": "IL",
"postal_code": "605044108",
"telephone_number": "630-978-1111",
"fax_number": "630-978-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 FOX VALLEY CENTER DR, UNIT 3",
"city": "AURORA",
"state": "IL",
"postal_code": "605044108",
"telephone_number": "630-978-1111",
"fax_number": "630-978-1180"
}
],
"practiceLocations": [
{
"address_1": "1177 N Highland Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "605062200",
"country_code": "US",
"telephone_number": "630-553-2545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MUHAMMAD Y SIDDIQ SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A",
"authorized_official_last_name": "SIDDIQ",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-553-2545",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036098263",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.practicefusion.com",
"affiliation": "N",
"address_1": "1177 N Highland Ave Ste 106",
"city": "Aurora",
"state": "IL",
"country_code": "US",
"postal_code": "605062200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Suburban Physicians SC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.