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Individual

VINAY GUNDAREDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 626-4300
Mailing address
2431 W CONGRESS PKWY, CHICAGO, IL 60612-3534
(845) 309-2092

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.086996
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125.086996
TEMPORARY PHYSICIAN LICENSE
IL
Enumeration date
08/19/2025
Last updated
08/19/2025
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