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Organization
MOUNT SINAI FAMILY PRACTICE RESIDENCY PROGRAM OF CHICAGO
Active
Organization
MOUNT SINAI FAMILY PRACTICE RESIDENCY PROGRAM OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA R. CISNEROS MD (RESIDENT/PHYSICIAN)
(773) 257-6097
Entity
Organization
Contact information
Practice address
1500 S CALIFORNIA AVE, CHICAGO, IL 60608-1729
(773) 257-6097
Mailing address
1644 S CORA ST, DES PLAINES, IL 60018-2210
(312) 860-1058
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
036117932
IL
Other
Enumeration date
05/09/2009
Last updated
05/09/2009
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