# SINAI MEDICAL GROUP DIABETES EDUCATION PROGRAM 003816

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MT SINAI COMMUNITY FOUNDATION D/B/A SINAI MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760721955
- **Legal business name:** MT SINAI COMMUNITY FOUNDATION D/B/A SINAI MEDICAL GROUP
- **Authorized official:** EDWARD CARNE (PRESIDENT SINAI MEDIAL GROUP)
- **Authorized official phone:** (773) 257-5771

## Contact information

- **Practice address:** 2653 W OGDEN AVE STE 3, CHICAGO, IL 60608-1647
- **Practice address phone:** (773) 257-6701
- **Mailing address:** 26460 NETWORK PLACE, CHICAGO, IL 60674-0001
- **Mailing address phone:** (773) 257-2820
- **Mailing address fax:** (773) 762-8529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2013
- **Last updated:** 09/28/2020