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Individual

DR. ANUJ S. PUPPALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
951 ESSINGTON RD, JOLIET, IL 60435-8427
(815) 744-4551
(815) 744-4756
Mailing address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 323-6169

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36-118657
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-118657
MD LICENSE
IL
05
036118657
IL
Enumeration date
06/20/2007
Last updated
11/02/2012
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