MEDICARE: KIRIT RATILAL JOSHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036069691	IL

General Provider Information

NPI Number	:	1700985777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRIT RATILAL JOSHI MD

Provider Business Mailing Address
First Line	:	7024 N KILPATRICK AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712
Country	:	US
Telephone Number	:	847-982-9822
Fax Number	:	847-982-2877

Provider Business Practice Location Address
First Line	:	5214 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625
Country	:	US
Telephone Number	:	773-784-1199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	01/08/2010

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