Individual
JAGANNATH PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 MEMORIAL DR STE 210, ALTON, IL 62002-6751
(618) 465-8829
(618) 465-5599
Mailing address
4 MEMORIAL DR STE 210, ALTON, IL 62002-6751
(618) 465-8829
(618) 465-5599
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036091352
IL
Other
Enumeration date
08/19/2006
Last updated
07/21/2022
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