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Organization

MOUNT SINAI COMMUNITY FOUNDATION

Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
Southwest Hematology/Oncology Consultants
Organization subpart
Yes

Provider details

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

Contact information

Practice address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(708) 786-2900
(708) 786-2992
Mailing address
6319 W 87TH ST, SUITE #1, OAK LAWN, IL 60453
(708) 233-5636

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Enumeration date
03/07/2014
Last updated
03/07/2014
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