Organization
MOUNT SINAI HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENETTA CROOM-BRIGHT (FAMILY MEDICINE PROGRAM COORDINATOR)
(773) 257-6097
Entity
Organization
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 542-2000
Mailing address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125069624
IL
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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