DATTA SAMBARE MD SC

OAK PARK, IL
NPI1790115517
Doing Business AsNORTH FOREST MEDICAL ASSOCIATES
Entity TypeOrganization
Authorized ContactDATTA SAMBARE
Manager
708-613-4738
Organization Subpart ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: IL  036-129147)
Enumeration Date2013-11-14
Last Update Date2015-07-07
Business Address
DATTA SAMBARE MD SC
6957 NORTH AVE
OAK PARK, IL 60302-1068
Phone number: 708-613-4738
Mailing Address
DATTA SAMBARE MD SC
PO BOX 215
WESTMONT, IL 60559-0215
Phone number: 708-613-4738