Individual
DR. SHRUTHI GEEDIPALLEY REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2155 CITY GATE LN, NAPERVILLE, IL 60563-7733
(630) 547-5040
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036130896
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130896
—
IL
Enumeration date
05/22/2009
Last updated
08/18/2023
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