Organization
CHICAGO ARTHRITIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDDHARTH TAMBAR MD (OWNER)
(773) 348-7171
Entity
Organization
Contact information
Practice address
618 W FULTON ST, CHICAGO, IL 60661-1144
(773) 348-7171
(773) 348-7414
Mailing address
618 W FULTON ST, CHICAGO, IL 60661-1144
(773) 348-7171
(773) 348-7414
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F1003344031
—
IL
Enumeration date
02/22/2023
Last updated
02/23/2023
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