Organization
MT SINAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SMITH EARL MD (PROGRAM DIRECTOR)
(773) 542-2000
Entity
Organization
Contact information
Practice address
510 W BRIAR PL APT 503, CHICAGO, IL 60657-4667
(815) 914-1277
Mailing address
510 W BRIAR PL APT 503, CHICAGO, IL 60657-4667
(815) 914-1277
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
IL
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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