Individual provider Active NPI

Sobia Sadiq, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Oak Brook, IL
National Provider Identifier
1629330303
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036147411 Issued in IL
Practice address
1415 W. 22ND Street
Tower Floor
Oakbrook, IL 60523-2605
Phone
(630) 320-2687
Fax
(630) 358-6930
NPI assigned
Jun 8, 2012
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036147411 IL Primary

Addresses

Primary practice location

1415 W. 22ND Street
Tower Floor
Oakbrook, IL 60523-2605

Mailing address

1415 W. 22ND Street
Tower Floor
Oakbrook, IL 60523-2605
Phone (630) 320-2687

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315001381 IL Practitioner - Endocrinology 7113159492 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036147411ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Form Health Associates Ma, P.C. Endocrinology, Diabetes & Metabolism CurrentSince Feb 18, 2024 Accepting new patients
Edward Health Ventures CurrentSince Nov 7, 2023 Accepting new patients
Edward Health Ventures CurrentSince Nov 7, 2023 Accepting new patients

Locations

125 S Wacker Dr
Ste 300
Chicago, IL 60606
Phone (254) 760-0283

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

100 Spalding Dr
Ste 206
Naperville, IL 60540
Phone (630) 355-6996

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

109 State St
Ste 5
Boston, MA 02109

Interoperability endpoints

  • Direct secure messaging: sobia.sadiq@168064768409604.direct.elationemr.com
  • Direct secure messaging: sobia.sadiq@678494654496772.direct.elationemr.com
  • Direct secure messaging: ssadiq264499@direct.edward.org
  • Direct secure messaging: ssadiq99589@direct.luhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1629330303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W. 22ND STREET",
            "address_2": "TOWER FLOOR",
            "city": "OAKBROOK",
            "state": "IL",
            "postal_code": "605232605",
            "telephone_number": "630-320-2687",
            "fax_number": "630-358-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W. 22ND STREET",
            "address_2": "TOWER FLOOR",
            "city": "OAKBROOK",
            "state": "IL",
            "postal_code": "605232605",
            "telephone_number": "630-320-2687",
            "fax_number": "630-358-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "SOBIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036147411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.