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Organization
MOUNT SINAI COMMUNITY FOUNDATION DBA SINIA MEDICAL GROUP
Active
Organization
MOUNT SINAI COMMUNITY FOUNDATION DBA SINIA MEDICAL GROUP
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG at SCI Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
JOHN E VAZQUEZ MD (CMO)
(773) 257-6850
Entity
Organization
Contact information
Practice address
2653 W OGDEN AVE, 3RD FLOOR SUITE A,, CHICAGO, IL 60608-1647
(773) 257-6892
(773) 257-6894
Mailing address
3537 PAYSPHERE CIR, CHICAGO, IL 60674-0035
(708) 786-2900
(708) 786-2992
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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