Organization
SR PSYCHIATRIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGAMANI P REDDY MD (PHYSICIAN)
(630) 515-1050
Entity
Organization
Contact information
Practice address
3510 HOBSON RD, SUITE 305, WOODRIDGE, IL 60517-1439
(630) 515-1050
(630) 515-1051
Mailing address
3510 HOBSON RD STE 305, WOODRIDGE, IL 60517-1442
(630) 515-1050
(630) 515-1051
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075583
—
IL
Enumeration date
10/27/2006
Last updated
04/05/2024
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