Provider Demographics
NPI:1053307132
Name:MARAMREDDY, SAILAJA (MD)
Entity Type:Individual
Prefix:
First Name:SAILAJA
Middle Name:
Last Name:MARAMREDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2718
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60078-2718
Mailing Address - Country:US
Mailing Address - Phone:847-640-7377
Mailing Address - Fax:
Practice Address - Street 1:657 E GOLF RD
Practice Address - Street 2:STE 304
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4968
Practice Address - Country:US
Practice Address - Phone:847-640-7377
Practice Address - Fax:847-640-7977
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-1014542084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634570OtherBCBS PROVIDER ID
ILP00148848OtherRAILROAD MEDICARE
IL036101454Medicaid
IL01634570OtherBCBS PROVIDER ID
IL036101454Medicaid
ILH47149Medicare UPIN