MEDICARE: ARATI A REDDY MD SC

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	042619133	IL

General Provider Information

NPI Number	:	1588847461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARATI A REDDY MD SC

Provider Business Mailing Address
First Line	:	441 ROUTE 130
Second Line	:
City	:	SANDWICH
State	:	MA
Zip	:	02563-2340
Country	:	US
Telephone Number	:	774-338-5120
Fax Number	:	774-338-5378

Provider Business Practice Location Address
First Line	:	720 S BROM DR
Second Line	:	SUITE 204
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-6534
Country	:	US
Telephone Number	:	630-848-1332
Fax Number	:	630-848-1344

Authorized Official
Title or Position	:	CHAIRMAN
Name	:	DR. ARATI A REDDY
Credential	:	MD
Telephone Number	:	708-945-9227

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	05/01/2014

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