Individual
KALPANA PUPPALA BICKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 S. MILWAUKEE AVE., ADVOCATE CONDELL MEDICAL CENTER, LIBERTYVILLE, IL 60048
(847) 990-5260
(847) 362-8031
Mailing address
3880 SALEM LAKE DR, STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.117072
IL
208M00000X
Hospitalist Physician
036117072
IL
Other
Enumeration date
01/14/2007
Last updated
03/07/2023
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