Provider Demographics
NPI:1821355363
Name:PATIL, SACHIN V (MD)
Entity Type:Individual
Prefix:DR
First Name:SACHIN
Middle Name:V
Last Name:PATIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1890 SILVER CROSS BLVD STE 410
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-9547
Mailing Address - Country:US
Mailing Address - Phone:815-717-8730
Mailing Address - Fax:815-717-8729
Practice Address - Street 1:1890 SILVER CROSS BLVD STE 410
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9547
Practice Address - Country:US
Practice Address - Phone:815-717-8730
Practice Address - Fax:815-717-8729
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036166916208600000X
MI4301110434208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty