Organization
MOUNT SINAI CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS VICKERS MD (PROGRAM DIRECTOR/CHAIRMAN OF PEDS)
(773) 257-6300
Entity
Organization
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-6183
Mailing address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-6183
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
125064021
IL
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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