NPI | 1790115517 |
---|---|
Doing Business As | NORTH FOREST MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DATTA SAMBARE Manager 708-613-4738 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IL 036-129147) |
Enumeration Date | 2013-11-14 |
Last Update Date | 2015-07-07 |