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Organization

MOUNT SINAI COMMUNITY FOUNDATION

Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG at 47th Street
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
1845 W 47TH ST, CHICAGO, IL 60609-3844
(773) 847-4216
(773) 847-4513
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(708) 786-2900
(708) 786-2992

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
03/07/2014
Last updated
03/07/2014
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