Healthcare Provider Details
I. General information
NPI: 1346275724
Provider Name (Legal Business Name): NIRAJA N REDDY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/12/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27750 W HIGHWAY 22 STE 240
BARRINGTON IL
60010-1924
US
IV. Provider business mailing address
29373 NETWORK PL
CHICAGO IL
60673-1293
US
V. Phone/Fax
- Phone: 847-381-5800
- Fax:
- Phone: 847-390-5900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 036-109003 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 036109003 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: