Organization
WESTSIDE RHEUMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD MASSENBURG M.D. (PHYSICIAN)
(773) 983-5785
Entity
Organization
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 983-5785
(708) 423-9666
Mailing address
9449 S KEDZIE AVE, SUITE 317, EVERGREEN PARK, IL 60805-2325
(773) 983-5785
(708) 423-9666
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036115006
IL
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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