Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Other names
SINAI MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E VAZQUEZ M.D. (CEO)
(773) 257-6850
Entity
Organization
Contact information
Practice address
1108 S KEDZIE AVE, CHICAGO, IL 60612-3935
(773) 722-2712
Mailing address
3537 PAYSPHERE CIR, CHICAGO, IL 60674-0035
(708) 786-2900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5783350002
DME NUMBER
IL
Enumeration date
10/06/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up