| Deepak Reddy, | |
|
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
| (309) 655-2702 | |
| (309) 655-3069 |
| Full Name | Deepak Reddy |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 17 Years |
| Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285047977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 125.065083 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Medical Center | Rockford, IL | Hospital |
| Entity Name | Cerebrum TN PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235010828 PECOS PAC ID: 7810487246 Enrollment ID: O20251105001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Deepak Reddy, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2702 | Deepak Reddy, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2702 |
Karen Margaret Kyle, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836 |
Dr. Douglas Juvinall, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 |
Kavya Moravineni, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 Fax: 309-624-4010 |
Arun C Pinto, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 228 Ne Jefferson, Peoria, IL 61603 Phone: 309-671-8000 Fax: 309-671-4695 |
Dr. M. Teresa C. Fraser, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1701 W. Garden Street, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7637 |
Shobha Nookala, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 Main St, Suite 400, Peoria, IL 61602 Phone: 309-672-3100 |
Shubhada Reddy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-495-1640 |