Individual
KAUSTUBHA DILIP PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 967-9723
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036.149934
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036.149934
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2009
Last updated
07/01/2019
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