Individual
SWETHA DHANIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7900 ROLLINS RD STE B1300, GURNEE, IL 60031-1512
(224) 251-2020
(224) 251-2010
Mailing address
7900 ROLLINS RD STE B1300, GURNEE, IL 60031-1512
(224) 251-2020
(224) 251-2010
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036163372
IL
207W00000X
Ophthalmology Physician
35147038
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006713
—
OH
Enumeration date
06/23/2015
Last updated
02/03/2023
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