Reddy, Chandra B
Reddy, Chandra B is an individual health care provider with primary practice located at 100 N River Rd , Des Plaines IL 60016-1209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Reddy, Chandra B can be contacted via phone (847) 597-1800.Contact Information
Primary practice address
100 N River Rd
Des Plaines IL 60016-1209
Phone: (847) 597-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036047193 | Illinois |
Profile Details
| NPI number | 1548364037 |
|---|---|
| LBN Legal business name | Reddy, Chandra B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | May 7th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548364037 | NPPES |
| Illinois | MEDICAID | 036047193 |
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