Individual
VENU REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 BROADWAY ST, SUITE 204, QUINCY, IL 62301-2719
(217) 224-6423
(217) 223-9045
Mailing address
927 BROADWAY ST, SUITE 204, QUINCY, IL 62301-2719
(217) 224-6423
(217) 223-9045
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-075770
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075770
—
IL
01
—
HEALTH ALLIANCE
113113
IL
Enumeration date
07/07/2005
Last updated
11/14/2013
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