Provider Demographics
NPI:1740213495
Name:PATIL, RAKHI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAKHI
Middle Name:
Last Name:PATIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 W GOLF RD
Mailing Address - Street 2:# 300
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016
Mailing Address - Country:US
Mailing Address - Phone:847-824-3127
Mailing Address - Fax:847-824-3347
Practice Address - Street 1:8901 W GOLF RD
Practice Address - Street 2:# 300
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016
Practice Address - Country:US
Practice Address - Phone:847-824-3127
Practice Address - Fax:847-824-3347
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036109083207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0338490001OtherADMINISTAR FEDERAL
IL9210198OtherADVOCATE
IL036109083Medicaid
IL9210198OtherADVOCATE
ILK12498Medicare ID - Type Unspecified