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DR. SHYAM PUPPALA MD
NPI 1043390099
Psychiatry & Neurology - Neurology in Chicago, IL

Active since October 16, 2006
4755 N KENMORE AVE, CHICAGO, IL 60640(773) 989-9868(773) 989-9824 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shyam Puppala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHYAM PUPPALA MD (NPI 1043390099) is an individual neurology provider in Chicago, Illinois, licensed in Illinois (036073281) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1043390099
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SHYAM PUPPALACredential: MD
Location Address4755 N KENMORE AVEChicago, IL 60640-5015
Mailing Address8 Red Hill LnSouth Barrington, IL 60010-6188 · (773) 989-9868 · Fax (773) 989-9824
Phone(773) 989-9868
Fax(773) 989-9824
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateMay 27, 2008
✔ NPI 1043390099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IL · 036073281
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4755 N KENMORE AVE, Chicago, IL 60640
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Other Identifiers 3

Medicare UPINE18641IL
Medicaid036073281IL
Medicare ID-Type Unspecified211855IL

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHEPHALI PATEL M.D.
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 989-9868
DR. KRISTIN LEE MOORE M.D.
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (515) 450-2830
MS. AILEEN FELICE ROSENBERG MSW/LCSW
Social Worker (Clinical)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 262-6892
WISE HEALTH PROFESSIONAL CORPORATION
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 989-9868
MRS. LISA ANNETTE JOHNSON FNP, DNP
Nurse Practitioner (Family)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 989-9868
SHYAM M PUPPALA MDSC
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 989-9868
SHYAM M PUPPALA MDSC
Psychiatry & Neurology (Neurology)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 989-9868
MR. JEFFREY J. CIOLINO M.A., L.C.P.C.
Counselor (Professional)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 905-9805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shyam Puppala's NPI number?

The NPI number for Shyam Puppala is 1043390099. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Shyam Puppala located?

Shyam Puppala practices at 4755 N Kenmore Ave, Chicago, IL 60640. The listed phone number is (773) 989-9868.

What is Shyam Puppala's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Shyam Puppala was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.