| NPI | 1821034224 |
|---|---|
| Doing Business As | MADISON PARKSIDE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DATTA SAMBARE President 773-379-2304 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2009-06-03 |