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Individual

DR. MAHENDRAGOUDA PATIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6302
(708) 597-2173
(708) 597-2315
Mailing address
1225 S PLYMOUTH CT, CHICAGO, IL 60605-2719
(708) 597-2173
(708) 597-2315

Taxonomy

Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
IL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
IL
208D00000X
General Practice Physician
IL

Other

Enumeration date
04/18/2007
Last updated
09/11/2025
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