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General NPI Number Information
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NPI Number | 1114453446
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Entity Type | Individual
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Provider Name | PRERANA REDDY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2017
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 801 S WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-7430
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Country | US
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Telephone | 630-527-5197
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Fax | 630-527-5526
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone | 732-429-0838
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036152174
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License Number State | IL
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