DATTA SAMBARE MD SC NPI 1790115517

NPI Information

NPI: 1790115517
Provider Name: DATTA SAMBARE MD SC

Doing Business As: NORTH FOREST MEDICAL ASSOCIATES

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6957 NORTH AVE
OAK PARK, IL
ZIP 60302
Phone: (708) 613-4738
Get Directions

DATTA SAMBARE MD SC is a primary care clinic center in Oak Park, IL. DATTA SAMBARE MD SC NPI is 1790115517. The provider is registered as an organization entity type.
The provider Is Doing Business As North Forest Medical Associates.

The provider's business location address is:

6957 NORTH AVE
OAK PARK, IL
ZIP 60302-068
Phone: (708) 613-4738

The provider's authorized official is Datta Sambare .
The authorized official title is Manager and has the following contact phone number (708) 613-4738.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 7/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	036-129147	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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