# MOUNT SINAI COMMUNITY FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOUNT SINAI COMMUNITY FOUNDATION
- **Other names:** Sina Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811700743
- **Legal business name:** MOUNT SINAI COMMUNITY FOUNDATION
- **Authorized official:** CHRISTOPHER STEPHENS (CREDENTIALING MANAGER)
- **Authorized official phone:** (773) 257-2933

## Contact information

- **Practice address:** 2652 W OGDEN AVE, CHICAGO, IL 60608-1617
- **Practice address phone:** (773) 257-2273
- **Practice address fax:** (773) 257-1361
- **Mailing address:** 1501 S CALIFORNIA AVE \# 7-140, CHICAGO, IL 60608-1732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 01/27/2025