Reddy, Geetha M
Reddy, Geetha M is an individual health care provider with primary practice located at 1880 W Winchester Rd Suite 207, Libertyville IL 60048-5341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Reddy, Geetha M can be contacted via phone (847) 816-3703.Contact Information
Primary practice address
1880 W Winchester Rd Suite 207
Libertyville IL 60048-5341
Phone: (847) 816-3703
Fax: (847) 816-4534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-100405 | Illinois |
Profile Details
| NPI number | 1174545453 |
|---|---|
| LBN Legal business name | Reddy, Geetha M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Dec 22nd, 2021 - about 4 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 | 1174545453 | NPPES |
| Illinois | Other | 0004928185 | BLUE CROSS & BLUE SHIELD |
| Illinois | Other | 113855 | BLUE CROSS & BLUE SHIELD |
| Illinois | Other | 2706821 | BLUE CROSS & BLUE SHIELD |
| Illinois | Other | 7394083 | BLUE CROSS & BLUE SHIELD |
| Illinois | Other | 060067327 | BLUE CROSS & BLUE SHIELD |
| Illinois | Other | 0834054009 | BLUE CROSS & BLUE SHIELD |
| Illinois | MEDICAID | 036100405 | BLUE CROSS & BLUE SHIELD |
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