Organization
MOUNT SINAI HOSPITAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN C TEITELBAUM (EXECUTIVE VICE PRESIDENT/COO)
(773) 257-5332
Entity
Organization
Contact information
Practice address
CALIFORNIA AT 15TH STREET, CHICAGO, IL 60608-1704
(773) 257-5315
Mailing address
2750 W 15TH PL, CHICAGO, IL 60608-1704
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0001644
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871581314
—
IL
Enumeration date
09/12/2011
Last updated
09/12/2011
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