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Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG ASHLAND OFFICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
MR. EDWARD CARNE (PRESIDENT OF SINAI MEDICAL GROUP)
(773) 257-5771
Entity
Organization
Contact information
Practice address
6224 S ASHLAND AVE, CHICAGO, IL 60636-2324
(773) 778-8600
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(773) 542-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001982657854
—
IL
Enumeration date
04/08/2010
Last updated
05/04/2023
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