Organization
MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
Sinai Medical Group - Cicero
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
JOHN E VAZQUEZ MD (CMO)
(773) 257-3850
Entity
Organization
Contact information
Practice address
1611 S CICERO AVE, CICERO, IL 60804-1520
(708) 477-4840
Mailing address
3537 PAYSPHERE CIR, CHICAGO, IL 60674-0035
(708) 786-2099
(708) 786-2992
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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