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Organization
MOUNT SINAI COMMUNITY FOUDATION
Active
Organization
MOUNT SINAI COMMUNITY FOUDATION
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
Holy Cross Physician Pavillion
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
JOHN E VAZQUEZ MD (CMO)
(773) 257-6850
Entity
Organization
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-7920
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(773) 257-2905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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