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Organization
RETINA CONSULTANTS OF CENTRAL ILLINOIS, SC
Active
Organization
RETINA CONSULTANTS OF CENTRAL ILLINOIS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHITTARANJAN V. REDDY MD (OWNER)
(309) 693-2249
Entity
Organization
Contact information
Practice address
3310 WEST CHARTWELL ROAD, SUITE 101, PEORIA, IL 61614
(309) 693-2249
(309) 693-2583
Mailing address
PO BOX 1466, BROOKFIELD, WI 53008-1466
(262) 788-9229
(262) 788-9241
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036090651
IL
207W00000X
Ophthalmology Physician
Primary
042-616854
IL
Other
Enumeration date
06/26/2006
Last updated
08/21/2018
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