# MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOUNT SINAI COMMUNITY FOUDATION
- **Other names:** MSH Center for Diabetes & Endocrinology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013514298
- **Legal business name:** MOUNT SINAI COMMUNITY FOUDATION
- **Authorized official:** EDWARD CARNEY (SINAI MEDICAL GROUP PRESIDENT)
- **Authorized official phone:** (773) 257-5771

## Contact information

- **Practice address:** 1500 S FAIRFIELD AVE FL 4, CHICAGO, IL 60608-1782
- **Practice address phone:** (773) 257-1165
- **Practice address fax:** (773) 257-1186
- **Mailing address:** 26460 NETWORK PL, CHICAGO, IL 60673-1264
- **Mailing address phone:** (773) 257-2820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2020
- **Last updated:** 10/01/2020