ANIL KUMAR REDDY REDDIVARI

PEORIA, IL
NPI1164687968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125053289)
Enumeration Date2008-07-22
Last Update Date2012-10-16
Business Address
-- ANIL KUMAR REDDY REDDIVARI M.D.,
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number: 309-672-5729
Mailing Address
-- ANIL KUMAR REDDY REDDIVARI M.D.,
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number:
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