Provider Type Icon

MUHAMMAD Y SIDDIQ SC NPI 1376612630


NPI Information

NPI: 1376612630
Provider Name: MUHAMMAD Y SIDDIQ SC

Doing Business As: SUBURBAN PHYSICIANS SC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 14D2179625

Address:
4075 FOX VALLEY CENTER DR, UNIT 3
AURORA, IL
ZIP 60504
Phone: (630) 978-1111
Get Directions

MUHAMMAD Y SIDDIQ SC is a neurology psychiatry neurology in Aurora, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MUHAMMAD Y SIDDIQ SC NPI is 1376612630. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Suburban Physicians Sc.

The provider's business location address is:

4075 FOX VALLEY CENTER DR, UNIT 3
AURORA, IL
ZIP 60504-108
Phone: (630) 978-1111
Fax: (630) 978-1180

The provider's authorized official is Muhammad Y Siddiq .
The authorized official title is Owner and has the following contact phone number (630) 553-2545.

The CLIA number assigned to this NPI record is 14D2179625 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 10/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2363LF0000XNurse PractitionerFamilyNo
32084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036098263MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.