Individual
KAUSHAL MAHIPATI PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 E. SOUTHWAY BLVD, KOKOMO, IN 46902-3820
(765) 626-0299
(765) 864-2070
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012721A
IN
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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