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1619911211
DATTA SAMBARE
CHICAGO, IL
NPI
1619911211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036094741)
Enumeration Date
2006-06-15
Last Update Date
2016-12-27
Business Address
Dr. DATTA SAMBARE M.D.
5650 W MADISON ST
CHICAGO, IL 60644-3939
Phone number: 773-379-2304
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Mailing Address
Dr. DATTA SAMBARE M.D.
PO BOX 215
WESTMONT, IL 60559-0215
Phone number:
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