Organization
V. ARAVIND REDDY M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. V. ARAVIND REDDY M.D. (PRESIDENT)
(815) 432-2225
Entity
Organization
Contact information
Practice address
625 S 5TH ST, SUITE B, WATSEKA, IL 60970-1835
(815) 432-2225
(815) 432-3623
Mailing address
625 S 5TH ST, SUITE B, WATSEKA, IL 60970-1835
(815) 432-2225
(815) 432-3623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036075574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003800069
BLUE CROSS BLUE SHIELD
—
05
—
036075574
—
IL
05
—
200098830A
—
IN
Enumeration date
10/05/2006
Last updated
08/22/2023
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