| Rohidas T Patil Md Sc | |
|
1770 E Lake Shore Dr Suite 209 Decatur IL 62521-3832 | |
| (217) 423-6500 | |
| (217) 423-6536 |
| Full Name | Rohidas T Patil Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1770 E Lake Shore Dr, Decatur, Illinois |
| Authorized Official Name and Position | Rohi Patil (PSYCHIATRIST) |
| Authorized Official Contact | 2174236500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rohidas T Patil Md Sc 1770 E Lake Shore Dr Suite 209 Decatur IL 62521-3832 Ph: (217) 423-6500 | Rohidas T Patil Md Sc 1770 E Lake Shore Dr Suite 209 Decatur IL 62521-3832 Ph: (217) 423-6500 |
| NPI Number | 1316110893 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 05/05/2014 |
| Medicare PECOS PAC ID | 5092772285 |
|---|---|
| Medicare Enrollment ID | O20041220000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316110893 | NPI | - | NPPES |
| 036052881 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-052881 (Illinois) | Primary |
| Provider Name | Rohidas T Patil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871601989 PECOS PAC ID: 6800854092 Enrollment ID: I20041220000724 |
| Provider Name | Thomas K Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265677421 PECOS PAC ID: 6608024955 Enrollment ID: I20120912000303 |
| Provider Name | Pamela R Gremmels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154783058 PECOS PAC ID: 8729379540 Enrollment ID: I20160624000711 |
| Provider Name | Karen Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174631279 PECOS PAC ID: 9436537586 Enrollment ID: I20220602001084 |
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