Reddy, Sukanya
Reddy, Sukanya is an sole proprietor health care provider with primary practice located at 975 E Nerge Rd Ste N40 , Roselle IL 60172-4809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reddy, Sukanya can be contacted via phone (630) 307-0660.Contact Information
Primary practice address
975 E Nerge Rd Ste N40
Roselle IL 60172-4809
Phone: (630) 307-0660
Fax: (847) 437-4045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36051673 | Illinois |
Profile Details
| NPI number | 1891751210 |
|---|---|
| LBN Legal business name | Reddy, Sukanya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jan 27th, 2012 - about 13 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 | 1891751210 | NPPES |
| Illinois | MEDICAID | 036051673 | |
| Illinois | Other | 01606888 | |
| Illinois | Other | 363049360 |
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