Organization
MOUNT SINAI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER STEPHENS (CREDENTIALING MANAGER)
(773) 257-2933
Entity
Organization
Contact information
Practice address
2653 W OGDEN AVE FL 2, CHICAGO, IL 60608-1647
(773) 257-6672
(773) 257-5330
Mailing address
1501 S CALIFORNIA AVE # 7-140, CHICAGO, IL 60608-1732
(773) 257-2933
(773) 762-8834
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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