Individual
DR. RUPA KRISHNASWAMY PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 CENTRAL ST STE 730, EVANSTON, IL 60201
(847) 864-3278
(847) 676-1727
Mailing address
1000 CENTRAL ST STE 730, EVANSTON, IL 60201-1779
(847) 864-3278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0074916
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063926500
—
MD
Enumeration date
04/13/2009
Last updated
09/05/2019
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