Organization
MT. SINAI HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS VICKERS M.D. (PROGRAM CHAIRMAN AND DIRECTOR)
(773) 257-6300
Entity
Organization
Contact information
Practice address
15 CALIFORNIA AVE., F 444, CHICAGO, IL 60608-3640
(773) 257-6183
Mailing address
15 CALIFORNIA AVE, CHICAGO, IL 60608
(773) 257-6183
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
25056316
IL
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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