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Organization
MOUNT SINAI HOSPITAL, CHICAGO
Active
Organization
MOUNT SINAI HOSPITAL, CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELANDA MAYWEATHER (PROGRAM COORDINATOR)
(773) 257-5914
Entity
Organization
Contact information
Practice address
MOUNT SINAI HOSPITAL, 1500 S FAIRFIELD AVE ,, CHICAGO, IL 60608
(415) 323-9159
Mailing address
903 S ASHLAND AVE APT. 501, CHICAGO, IL 60607
(415) 323-9159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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