# MOUNT SINAI MEDICAL CENTER

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

## Provider details

- **NPI number:** 1508026030
- **Authorized official:** EVYAN JAWAD MD (CARDIOLOGY FELLOW)
- **Authorized official phone:** (773) 257-6452

## Contact information

- **Practice address:** CALIFORNIA AT 15 TH STREET, DEPARTMENT OF CARDIOLOGY, CHICAGO, IL 60608
- **Practice address phone:** (773) 257-6452
- **Mailing address:** CALIFORNIA AT 15 TH STREET, DEPARTMENT OF CARDIOLOGY, CHICAGO, IL 60608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 036099316 | IL | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008