Individual
OBAYYA CHENNAREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 BARRINGTON RD, HOFFMAN ESTATES, IL 60169-1019
(847) 490-2923
Mailing address
2413 W ALGONQUIN RD # 608, ALGONQUIN, IL 60102-9402
(224) 333-0033
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036053846
IL
208VP0014X
Interventional Pain Medicine Physician
036053846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053846
—
IL
Enumeration date
04/20/2006
Last updated
06/11/2008
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