Datta Sambare M D S C
NPI #1780606566 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1780606566
- Entity Type
- Organization
- Organization Name
- Datta Sambare M D S C
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DATTA SAMBARE M D S C
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Mar 29, 2016
Practice Location
- Address
- 730 S WEBER RD
- Address 2
- UNIT G
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60490-5472
- Phone
- (630) 378-2000
Authorized Official
- Name
- DATTA SAMBARE, M.D.
- Title
- PRESIDENT
- Phone
- (630) 378-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Family Medicine |
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