Healthcare Provider Details

I. General information

NPI: 1043142599
Provider Name (Legal Business Name): UMA REDDI MADI REDDI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 MC DOWELL RD STE 101
NAPERVILLE IL
60563-6533
US

IV. Provider business mailing address

12762 S NICHOLAS DR
PLAINFIELD IL
60585-2735
US

V. Phone/Fax

Practice location:
  • Phone: 331-200-3226
  • Fax:
Mailing address:
  • Phone: 815-779-5834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: