Provider Demographics
NPI:1629330303
Name:SADIQ, SOBIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SOBIA
Middle Name:
Last Name:SADIQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 W. 22ND STREET
Mailing Address - Street 2:TOWER FLOOR
Mailing Address - City:OAKBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2605
Mailing Address - Country:US
Mailing Address - Phone:630-320-2687
Mailing Address - Fax:630-358-6930
Practice Address - Street 1:1415 W. 22ND STREET
Practice Address - Street 2:TOWER FLOOR
Practice Address - City:OAKBROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2605
Practice Address - Country:US
Practice Address - Phone:630-320-2687
Practice Address - Fax:630-358-6930
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036147411207RE0101X
MDD79921207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine