Individual provider Active NPI

Zubair Siddiqui, D.C.

  • Chiropractor
  • Bolingbrook, IL
National Provider Identifier
1912307489
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012660 Issued in IL
Practice address
305 W Briarcliff Rd Ste 100
Bolingbrook, IL 60440-2864
Phone
(630) 863-4203
Fax
(630) 981-0534
NPI assigned
Sep 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012660 IL Primary

Addresses

Primary practice location

305 W Briarcliff Rd Ste 100
Bolingbrook, IL 60440-2864

Mailing address

305 W Briarcliff Rd Ste 100
Bolingbrook, IL 60440-2864
Phone (630) 863-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623000991 IL Practitioner - Chiropractic 4385935246 Reassigns benefits to 1 organization
Practice locations: Bolingbrook, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 W Briarcliff Rd
Suite 100
Bolingbrook, IL 60440-2864
Phone (630) 863-4203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012660ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Chiropractic and Rehab LLC Chiropractor CurrentSince Jan 1, 2022 Accepting new patients

Locations

305 W Briarcliff Rd
Ste 100
Bolingbrook, IL 60440
Phone (630) 863-4203

425 Quadrangle Dr
Ste 120
Bolingbrook, IL 60440
Phone (630) 863-4203

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1912307489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W BRIARCLIFF RD STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402864",
            "telephone_number": "630-863-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W BRIARCLIFF RD STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402864",
            "telephone_number": "630-863-4203",
            "fax_number": "630-981-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "ZUBAIR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.

Verify at the official NPI Registry.