| NPI | 1588802490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYAM M PUPPALA Psychiatrist 773-989-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036073281) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |