Individual
DEEPAK REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2702
(309) 655-3069
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2702
(309) 655-3069
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125.065083
IL
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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