Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Parent organization
ARCHER POB UROLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARCHER POB UROLOGY
Authorized official
DEBORAH CAPUTO (MANAGER)
(773) 257-2905
Entity
Organization
Contact information
Practice address
6084 S ARCHER AVE, STE 202, CHICAGO, IL 60638-2747
(773) 581-5888
(773) 581-5895
Mailing address
6084 S ARCHER AVE, STE 202, CHICAGO, IL 60638-2747
(773) 581-5888
(773) 581-5895
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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