MRS. GURRAMKONDA NAIDU M.D.
NPI 1528089687
Family Medicine in Peoria, IL

Active since July 22, 2006
120 NE GLEN OAK AVE, SUITE 306, PEORIA, IL 61603(309) 672-4582(309) 672-4552 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Gurramkonda Naidu M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GURRAMKONDA NAIDU M.D. (NPI 1528089687) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036058664) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1528089687
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. GURRAMKONDA NAIDUCredential: M.D.
Location Address120 NE GLEN OAK AVE, SUITE 306Peoria, IL 61603-4314
Mailing Address5000 Reliable PkwyChicago, IL 60682-0001 · (309) 672-4582 · Fax (309) 672-4552
Fax(309) 672-4552
Sole ProprietorNo
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1528089687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036058664
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
120 NE GLEN OAK AVE, Peoria, IL 61603

Other Identifiers 8

Other0116IL · Blue Cross/blue Shield
Medicare ID-Type Unspecified140209IL
Other001011IL · Health Alliance
Other115958IL · Healthlink
OtherA61636IL · John Deere
Medicare UPING16092IL
Medicaid370661223001IL
Medicaid370661223401IL

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

120 NE GLEN OAK AVE, SUITE 407
PEORIA, IL 61603
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
PEORIA, IL 61603
Specialist
120 NE GLEN OAK AVE, SUITE 408
PEORIA, IL 61603
Clinic/Center
120 NE GLEN OAK AVE, SUITE 408
PEORIA, IL 61603
Obstetrics & Gynecology (Obstetrics)
120 NE GLEN OAK AVE, SUITE 200
PEORIA, IL 61603
Internal Medicine (Rheumatology)
120 NE GLEN OAK AVE, SUITE 100
PEORIA, IL 61603
Pharmacist (Ambulatory Care)
120 NE GLEN OAK AVE, SUITE 301
PEORIA, IL 61603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gurramkonda Naidu's NPI number?

The NPI number for Gurramkonda Naidu is 1528089687. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Gurramkonda Naidu located?

Gurramkonda Naidu practices at 120 NE Glen Oak Ave Suite 306, Peoria, IL 61603. The listed phone number is (309) 672-4582.

What is Gurramkonda Naidu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gurramkonda Naidu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.