Individual
ROHIDAS T. PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1770 E LAKESHORE DR, STE 209, DECATUR, IL 62521-3823
(217) 423-6500
(217) 423-6536
Mailing address
1770 E LAKESHORE DR, STE 209, DECATUR, IL 62521-3823
(217) 423-6500
(217) 423-6536
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036052881
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052881
—
IL
Enumeration date
08/28/2006
Last updated
11/05/2009
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