Dr. Shyam Puppala
Neurologist
4755 N Kenmore Ave
Chicago
, Illinois 60640-5015
Dr. Shyam Puppala
Neurologist
4755 N Kenmore Ave
Chicago
, Illinois 60640-5015
(773) 989-9824
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Shyam Puppala
- 8 Red Hill Ln
- South Barrington, IL
- Zip : 60010-6188
- Fax : (773) 989-9824
- Phone : (773) 989-9868
Second Address
- Dr. Shyam Puppala
- 4755 N Kenmore Ave
- Chicago, IL
- Zip : 60640-5015
- Fax : (773) 989-9824
- Phone : (773) 989-9868
Reviews
FAQs
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Is Dr. Shyam Puppala a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 036073281 | IL |
National Provider Identifier
| NPI | 1043390099 |
|---|---|
| Provider Name | Dr. Shyam Puppala |
| First Address | South Barrington, IL 60010-6188 |
| Second Address | Chicago, IL 60640-5015 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 27/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036073281 | (05) | IL |
| E18641 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.