Dr Datta Sambare, MD | |
5650 W Madison St, Chicago, IL 60644-3939 | |
(773) 379-2304 | |
Not Available |
Full Name | Dr Datta Sambare |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 41 Years |
Location | 5650 W Madison St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619911211 | NPI | - | NPPES |
036094741 | Medicaid | IL | |
K11005 | Other | IL | MEDICARE PIN - BROOKVILLE MEDICAL CENTER |
K11006 | Other | IL | MEDICARE PIN - MADISON PARKSIDE MEDICAL CENTER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036094741 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred Hospice | Oak brook, IL | Hospice |
Presence Saint Joseph Medical Center | Joliet, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Adventist Bolingbrook Hospital | Bolingbrook, IL | Hospital |
Briar Place Nursing | Indian head park, IL | Nursing home |
Meadowbrook Manor | Bolingbrook, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Datta Sambare M D S C | 9234199845 | 2 |
Entity Name | Datta Sambare M D S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780606566 PECOS PAC ID: 9234199845 Enrollment ID: O20041018000376 |
Mailing Address | Practice Location Address |
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Dr Datta Sambare, MD Po Box 215, Westmont, IL 60559-0215 Ph: () - | Dr Datta Sambare, MD 5650 W Madison St, Chicago, IL 60644-3939 Ph: (773) 379-2304 |
Dr. Sorin C Danciu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722 | |
Anoopa A. Koshy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000 | |
William Edmond Gerardi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060 | |
Suparna Dutta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612 Phone: 312-942-4200 Fax: 312-942-3568 | |
Alexandra Dumitrescu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Mitesh Mahesh Kabadi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020 | |
Dr. Marta Batus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192 |