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Organization

MOUNT SINAI COMMUNITY FOUNDATION

Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
Sinai Medical Group at West Suburban
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
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-7899
Mailing address
1501 S CALIFORNIA AVE, NR7-130, CHICAGO, IL 60608-1732
(773) 257-2905

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
04/07/2016
Last updated
04/07/2016
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