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Organization
MOUNT SINAI HOSPITAL MEDICAL CENTER
Active
Organization
MOUNT SINAI HOSPITAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN H. CHANNING (PRESIDENT AND CEO)
(773) 542-2000
Entity
Organization
Contact information
Practice address
2124 W 21ST PL, CHICAGO, IL 60608-4010
(773) 890-7676
Mailing address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0001644
IL
Other
Enumeration date
11/04/2010
Last updated
09/12/2011
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