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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891751210 NPPES
Illinois MEDICAID 036051673
Illinois Other 01606888
Illinois Other 363049360

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