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Individual

RAMAKANTH REDDY ILURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.T.

Contact information

Practice address
3401 HENNEPIN DR, JOLIET, IL 60431-1080
(815) 436-5900
Mailing address
1920 OLD SPRINGVILLE RD, BIRMINGHAM, AL 35215-5858
(205) 520-9600
(205) 520-0455

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008358
IL

Other

Enumeration date
11/13/2008
Last updated
11/13/2008
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