Organization
MOUNT SINAI HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS VICKERS MD (DEPARTMENT CHAIRMAN)
(773) 257-6300
Entity
Organization
Contact information
Practice address
1500 SOUTH CALIFORNIA, F444, CHICAGO, IL 60608
(773) 257-6183
Mailing address
2307 WALING-WALING ST, ANTIPOLO, RIZAL 1870
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
125062259
IL
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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