Datta Sambare MD SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036-129147 Issued in IL

Legal business name

DATTA SAMBARE MD SC

Doing business as

North Forest Medical Associates

Practice address

6957 North Ave
Oak Park, IL 60302-1068

Phone

(708) 613-4738

NPI assigned

Nov 14, 2013

Last updated

Jul 7, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

DATTA.SAMBARE.MD,SCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Datta Sambare, M.D.

Title

Manager

Phone

(708) 613-4738

Specialties & licenses 1

Addresses

Other names 1

• North Forest Medical Associates Doing business as

Part of

Datta Sambare MD S C

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Varsha Sambare, M.D.

  • Family Medicine Physician
  • Bolingbrook, IL
  • NPI 1497775233
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1790115517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605590215",
            "telephone_number": "708-613-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021068",
            "telephone_number": "708-613-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DATTA SAMBARE MD SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DATTA.SAMBARE.MD,SC",
        "enumeration_date": "2013-11-14",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "SAMBARE",
        "authorized_official_first_name": "DATTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-613-4738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036-129147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Forest Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Principato
• Tawanna L Daniels, LCPC
• Christine Dankha
• Mary Andree Darnall, MS OTR/L
• Anna Lou Dassinger
• Davenport Medical Inc
• David R Schatz MD SC
• Robert Emmett Davies III, LCSW
• Davis Chiropractic, LTD
• Bertha Davis, LCSW

• Primary Care Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.