Organization
DATTA SAMBARE M D S C
Active
Parent organization
DATTA SAMBARE M D S C
Other names
Brookville Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DATTA SAMBARE M D S C
Authorized official
DATTA SAMBARE M.D. (PRESIDENT)
(630) 378-2000
Entity
Organization
Contact information
Practice address
730 S WEBER RD, UNIT G, BOLINGBROOK, IL 60490-5472
(630) 378-2000
Mailing address
PO BOX 215, WESTMONT, IL 60559-0215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/24/2006
Last updated
03/29/2016
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