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Organization
MOUNT SINAI HOSPITAL
Active
Organization
MOUNT SINAI HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS VICKERS (PROGRAM DIRECTOR)
(773) 257-6183
Entity
Organization
Contact information
Practice address
2750 W 15TH PL, CHICAGO, IL 60608-1704
(773) 542-2000
Mailing address
2750 W 5TH PLACE, CHICAGO, IL 60608-0000
(773) 542-2000
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
125.062259
IL
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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