Individual
AVINISH DEVUNI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 W TAYLOR ST, NONE, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
942 KENDALL CT, NONE, CROWN POINT, IN 46307-2679
(219) 308-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01080373A
IN
208M00000X
Hospitalist Physician
036145626
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/31/2015
Last updated
05/11/2021
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