MEDICARE: SATISH REDDY DDS PC

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
2	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1487669156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SATISH REDDY DDS PC

Provider Business Mailing Address
First Line	:	3020 W MONTROSE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1312
Country	:	US
Telephone Number	:	773-754-3900
Fax Number	:	773-754-3907

Provider Business Practice Location Address
First Line	:	3020 W MONTROSE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1312
Country	:	US
Telephone Number	:	773-754-3900
Fax Number	:	773-754-3905

Authorized Official
Title or Position	:	DENTIST
Name	:	MR. SATISH REDDY
Credential	:
Telephone Number	:	773-754-3900

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	04/15/2025

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