Individual
MRS. GEETHA M REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1880 W WINCHESTER RD, SUITE 207, LIBERTYVILLE, IL 60048-5341
(847) 816-3703
(847) 816-4534
Mailing address
PO BOX 1127, LIBERTYVILLE, IL 60048-4127
(847) 816-3703
(847) 816-4534
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-100405
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004928185
BLUE CROSS & BLUE SHIELD
IL
05
—
036100405
—
IL
01
—
060067327
RAILROAD MEDICARE
GA
01
—
0834054009
CIGNA
IL
01
—
113855
HEALTH PARTNERS
IL
01
—
2706821
AETNA HMO
IL
01
—
7394083
AETNA NONHMO
IL
Enumeration date
07/24/2006
Last updated
12/22/2021
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