Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG South Pulaski
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
26460 NETWORK PL, CHICAGO, IL 60673-1264
(708) 786-2900
Mailing address
6441 S PULASKI RD, CHICAGO, IL 60629-5148
(773) 585-6446
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
11/25/2013
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