Individual
SWETHA SANNAREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
115 E SOUTH ST, PLANO, IL 60545-1417
(630) 552-7166
Mailing address
3323 FARMGATE DR, NAPERVILLE, IL 60564-5930
(217) 521-9414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006315
IL
Other
Enumeration date
11/15/2017
Last updated
03/17/2018
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