Dr Mahendragouda Patil, MD is a
General Practice physician based in Merrionette Park, Illinois. Dr Mahendragouda Patil is licensed to practice in Illinois (license number ) and his current practice location is 11600 S Kedzie Ave, Merrionette Park, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 597-2173.
NPI number for Dr Mahendragouda Patil is 1356567978 and his current mailing address is 1225 S Plymouth Ct, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356567978.
Physician's Profile
Full Name | Dr Mahendragouda Patil |
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Gender | Male |
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Speciality | General Practice |
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Location | 11600 S Kedzie Ave, Merrionette Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356567978
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mahendragouda Patil such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356567978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PH0002X | Emergency Medicine - Hospice And Palliative Medicine | (Illinois) | Primary |
207QH0002X | Family Medicine - Hospice And Palliative Medicine | (Illinois) | Primary |
208D00000X | General Practice | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mahendragouda Patil is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mahendragouda Patil, MD 1225 S Plymouth Ct, Chicago, IL 60605-2719 Ph: (708) 597-2173 | Dr Mahendragouda Patil, MD 11600 S Kedzie Ave, Merrionette Park, IL 60803-6302 Ph: (708) 597-2173 |
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