Organization
RETINA CONSULTANTS OF CENTRAL ILLINOIS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHITTARANJAN V. REDDY MD (OWNER)
(309) 693-2249
Entity
Organization
Contact information
Practice address
3310 WEST CHARTWELL ROAD, SUITE 101, PEORIA, IL 61614
(309) 693-2249
(309) 693-2583
Mailing address
PO BOX 1466, BROOKFIELD, WI 53008-1466
(262) 788-9229
(262) 788-9241
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036090651
IL
207W00000X
Ophthalmology Physician
Primary
042-616854
IL
Other
Enumeration date
06/26/2006
Last updated
08/21/2018
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