# MOUNT SINAI HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487109500
- **Authorized official:** LENETTA CROOM-BRIGHT (FAMILY MEDICINE PROGRAM COORDINATOR)
- **Authorized official phone:** (773) 257-6097

## Contact information

- **Practice address:** 1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
- **Practice address phone:** (773) 542-2000
- **Mailing address:** 1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 125069624 | IL | Yes |

## Other

- **Enumeration date:** 08/18/2016
- **Last updated:** 08/18/2016