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Organization

REDDY DERMATOLOGY, S CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERENCE CHIRAMEL MBBS, MBA (ADMINISTRATOR)
(630) 855-8355
Entity
Organization

Contact information

Practice address
412 63RD ST STE 101, DOWNERS GROVE, IL 60516-2000
(630) 855-8355
Mailing address
412 63RD ST STE 101, DOWNERS GROVE, IL 60516-2000
(815) 210-1885

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
332900000X
Non-Pharmacy Dispensing Site

Other

Enumeration date
09/25/2018
Last updated
08/31/2020
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