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Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Other names
SMG West Chicago Physicians Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E. VAZQUEZ MD (CMO)
(773) 257-6850
Entity
Organization
Contact information
Practice address
610 S MAPLE AVE, STE 2100, OAK PARK, IL 60304-1091
(708) 848-7373
(708) 848-5240
Mailing address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(708) 786-2905
(773) 762-8500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
08/30/2006
Last updated
05/31/2013
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