MEDICARE: MR. SAADIQ BEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149.027871	IL

General Provider Information

NPI Number	:	1336781681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SAADIQ BEY

Provider Business Mailing Address
First Line	:	2158 45TH ST STE 539
Second Line	:
City	:	HIGHLAND
State	:	IN
Zip	:	46322-3742
Country	:	US
Telephone Number	:	773-557-9611
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 N MENDELL ST STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-1282
Country	:	US
Telephone Number	:	773-557-9611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2019
Last Update Date	:	03/16/2026

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