DATTA SAMBARE MD SC (NPI# 1790115517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790115517 |
| Entity Type | Organization |
| Organization Name | DATTA SAMBARE MD SC |
| Other Organization Name | NORTH FOREST MEDICAL ASSOCIATES |
| Practice Address |
6957 North Ave Oak Park IL 60302-1068 |
| Mailing Address |
Po Box 215 Westmont IL 60559-0215 |
| Practice Telephone | 7086134738 |
| Mailing Telephone | 7086134738 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | DR. DATTA SAMBARE (MANAGER) |
| Authorized Official Telephone | 7086134738 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | DATTA.SAMBARE.MD,SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036-129147 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Forest Medical Associates | Doing Business As Name - Organization |
| Street Address |
6957 NORTH AVE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821248766 | North and Harlem Health Plaza Ltd | Chiropractor | 6957 North Ave, Oak Park, IL 60302-1068 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225346885 | Kinfe Gebeyehu | Clinic/Center | 1125 Clinton Ave, Oak Park, IL 60304-1825 | 2010-09-16 |
| 1295900322 | Urban Home Physicians, Inc. | Clinic/Center | 408 Madison St, Oak Park, IL 60302-4091 | 2008-04-29 |
| 1154376234 | Dacia Medical Professional Corporation | Clinic/Center | 917 S Oak Park Ave, Suite B, Oak Park, IL 60304-1950 | 2006-05-24 |
| 1740744895 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-23 |
| 1932672391 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-09 |
| 1437544350 | Dabaja Medical Consulting Pllc | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2015-03-30 |
| 1174947543 | Dabaja Medical Consulting | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2014-02-06 |
| 1861750036 | D.o.c, Family Practice, S.c. | Clinic/Center | 6300 Roosevelt Rd, Oak Park, IL 60304-2303 | 2012-04-25 |
| 1700180171 | Oak Park Pediatrics Ltd. | Clinic/Center | 1107 Chicago Ave, Oak Park, IL 60302-1803 | 2010-12-28 |
| 1649573882 | Mary L. Kelly, D.o., S.c. | Clinic/Center | 1125 Westgate St, Oak Park, IL 60301-1007 | 2010-12-09 |
| Find all providers in OAK PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.