Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
Sinai Medical Group
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
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6663
(773) 257-6431
Mailing address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6663
(773) 257-6431
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
NUMBER
IL
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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