PHANIVARDHAN REDDY BABIREDDY

MELROSE PARK, IL
NPI1598067522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.055722)
Enumeration Date2010-11-23
Last Update Date2010-11-23
Business Address
-- PHANIVARDHAN REDDY BABIREDDY M.D
1111 SUPERIOR ST 101
MELROSE PARK, IL 60160-4138
Phone number: 708-344-2161
Mailing Address
-- PHANIVARDHAN REDDY BABIREDDY M.D
210 N KENILWORTH AVE APT 9
OAK PARK, IL 60302-2062
Phone number: 502-460-3440
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