Reddy Dermatology, S Corporation

NPI #1366927493 in Downers Grove, Illinois

Provider Information

NPI Number: 1366927493
Entity Type: Organization
Organization Name: Reddy Dermatology, S Corporation
Primary Specialty: Dermatology
Enumeration Date: Sep 25, 2018
Last Updated: Aug 31, 2020

Practice Location

Address: 412 63RD ST STE 101
City: Downers Grove
State: Illinois
ZIP Code: 60516-2000
Phone: (630) 855-8355

Authorized Official

Name: TERENCE CHIRAMEL, MBBS, MBA
Title: ADMINISTRATOR
Phone: (630) 855-8355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X
Dermatology	207N00000X	Primary

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