Individual
DR. SHANTAN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
808 RICKERT DR STE 201, NAPERVILLE, IL 60540-0910
(630) 355-8300
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036129271
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129271
—
IL
Enumeration date
03/07/2007
Last updated
08/18/2023
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