Individual provider Active NPI

Saddiq Alzandani

  • Family Nurse Practitioner
  • Palos Heights, IL
National Provider Identifier
1467140145
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.027325 Issued in IL
Practice address
12508 S Harlem Ave Ste C
Palos Heights, IL 60463-1598
Phone
(708) 671-1685
Fax
(708) 671-1695
NPI assigned
May 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.027325 IL Primary

Addresses

Primary practice location

12508 S Harlem Ave Ste C
Palos Heights, IL 60463-1598

Mailing address

12508 S Harlem Ave Ste C
Palos Heights, IL 60463-1598
Phone (708) 671-1685

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612000221 IL Order and Referring Only - Nurse Practitioner 1658738372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.027325ILMDFamily Nurse Practitioner

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": "1761523200000",
    "number": "1467140145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 S HARLEM AVE STE C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631598",
            "telephone_number": "708-671-1685",
            "fax_number": "708-671-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12508 S HARLEM AVE STE C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631598",
            "telephone_number": "708-671-1685",
            "fax_number": "708-671-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALZANDANI",
        "first_name": "SADDIQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.027325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.