Individual
DR. BHAGYA LAKSHMI PUPPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 DEMPSTER ST, 2 SOUTH, PARK RIDGE, IL 60068-1143
(847) 723-5313
(847) 723-2338
Mailing address
1775 DEMPSTER ST, 2 SOUTH, PARK RIDGE, IL 60068-1143
(847) 723-5313
(847) 723-2338
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
03656684
IL
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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