Individual
VISWANATHA B REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
(630) 545-5980
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036054873
IL
207L00000X
Anesthesiology Physician
Primary
036054873
IL
Other
Enumeration date
06/26/2006
Last updated
06/13/2016
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