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Organization

MOUNT SINAI COMMUNITY FOUNDATION

Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG The Heart Specialist
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
JOHN VAZQUEZ MD (CMO)
(773) 257-6850
Entity
Organization

Contact information

Practice address
4900 S ARCHER AVE, STE 1, CHICAGO, IL 60632-3663
(773) 767-8375
Mailing address
4900 S ARCHER AVE, STE 1, CHICAGO, IL 60632-3663
(773) 767-8375

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
06/16/2015
Last updated
06/16/2015
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