Provider Demographics
NPI:1063077964
Name:BEAR CHIROPRACTIC AND REHAB LLC
Entity type:Organization
Organization Name:BEAR CHIROPRACTIC AND REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ZUBAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-863-4203
Mailing Address - Street 1:305 W BRIARCLIFF RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-2864
Mailing Address - Country:US
Mailing Address - Phone:630-863-4203
Mailing Address - Fax:
Practice Address - Street 1:305 W BRIARCLIFF RD STE 100
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-2864
Practice Address - Country:US
Practice Address - Phone:630-863-4203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty