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Organization
MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP
Active
Organization
MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG Wentworth
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
DEBORAH CAPUTO (MANAGER)
(773) 257-2905
Entity
Organization
Contact information
Practice address
2323 S WENTWORTH AVE, CHICAGO, IL 60616-4615
(312) 567-2900
(312) 842-4967
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(773) 257-2820
(773) 762-8529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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