Organization
MOUNT SINAI FAMILY PRACTICE RESIDENCY PROGRAM OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA R. CISNEROS MD (RESIDENT/PHYSICIAN)
(773) 257-6097
Entity
Organization
Contact information
Practice address
1500 S CALIFORNIA AVE, CHICAGO, IL 60608-1729
(773) 257-6097
Mailing address
1644 S CORA ST, DES PLAINES, IL 60018-2210
(312) 860-1058
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
036117932
IL
Other
Enumeration date
05/09/2009
Last updated
05/09/2009
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