Organization
SMG AT SCI -OBGYN
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
JOHN E VAZQUEZ MD (CMO)
(773) 257-6850
Entity
Organization
Contact information
Practice address
2653 W OGDEN AVE, CHICAGO, IL 60673-1264
(773) 257-6701
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(708) 786-2900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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