# WESTSIDE RHEUMATOLOGY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821315128
- **Authorized official:** DR. DONALD MASSENBURG M.D. (PHYSICIAN)
- **Authorized official phone:** (773) 983-5785

## Contact information

- **Practice address:** 2875 W 19TH ST, CHICAGO, IL 60623-3501
- **Practice address phone:** (773) 983-5785
- **Practice address fax:** (708) 423-9666
- **Mailing address:** 9449 S KEDZIE AVE, SUITE 317, EVERGREEN PARK, IL 60805-2325
- **Mailing address phone:** (773) 983-5785
- **Mailing address fax:** (708) 423-9666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 036115006 | IL | Yes |

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 04/26/2010