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Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG Washington
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
JOHN VAZQUEZ (CMO)
(773) 257-6850
Entity
Organization
Contact information
Practice address
3857 W WASHINGTON BLVD, CHICAGO, IL 60624-2342
(773) 533-4850
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(708) 786-2900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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