Organization
ROHIDAS T PATIL MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROHI PATIL MD (PSYCHIATRIST)
(217) 423-6500
Entity
Organization
Contact information
Practice address
1770 E LAKE SHORE DR, SUITE 209, DECATUR, IL 62521-3832
(217) 423-6500
(217) 423-6536
Mailing address
1770 E LAKE SHORE DR, SUITE 209, DECATUR, IL 62521-3832
(217) 423-6500
(217) 423-6536
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-052881
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052881
—
IL
Enumeration date
04/07/2008
Last updated
05/05/2014
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