MEDICARE: DR. KOUSALYA R REDDY D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist		IL

General Provider Information

NPI Number	:	1538227129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KOUSALYA R REDDY D.D.S

Provider Business Mailing Address
First Line	:	3166 N LINCOLN AVE
Second Line	:	SUITE NO 317
City	:	CHICAGO
State	:	IL
Zip	:	60657-3133
Country	:	US
Telephone Number	:	773-281-8933
Fax Number	:	773-281-8933

Provider Business Practice Location Address
First Line	:	3166 N LINCOLN AVE
Second Line	:	SUITE NO 317
City	:	CHICAGO
State	:	IL
Zip	:	60657-3133
Country	:	US
Telephone Number	:	773-281-8933
Fax Number	:	773-281-8933

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1770568149 — AMANULLAH KHALIL DDS
Practice Location Address:

3166 N LINCOLN AVE , SUITE 217
CHICAGO, IL
60657-3133

Practice Phone: 773-281-7845
Practice Fax: 773-281-4842

1306804091 — MS. MELINDA REZMAN MA
Practice Location Address:

3166 N LINCOLN AVE
CHICAGO, IL
60657-3133

Practice Phone: 773-348-4150
Practice Fax:

1699841023 — MS. RACHEL E S WRIGHT LCSW
Practice Location Address:

3166 N LINCOLN AVE , SUITE 205
CHICAGO, IL
60657-3133

Practice Phone: 312-308-3435
Practice Fax: 312-276-8830

1124182159 — ANGELICA ORTIZ PSY.D.
Practice Location Address:

3166 N LINCOLN AVE , SUITE 304
CHICAGO, IL
60657-3133

Practice Phone: 773-960-6267
Practice Fax:

1134285679 — NANCY GORDON LCSW
Practice Location Address:

3166 N LINCOLN AVE , SUITE 303
CHICAGO, IL
60657-3133

Practice Phone: 312-214-0679
Practice Fax:

1457418436 — SHEILA N NISSIM L.C.S.W.
Practice Location Address:

3166 N LINCOLN AVE , #214A
CHICAGO, IL
60657-3133

Practice Phone: 773-209-5788
Practice Fax:

Directions to “ DR. KOUSALYA R REDDY D.D.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.