Organization
MOUNT SINAI HOSPITAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN H. CHANNING (PRESIDENT AND CEO)
(773) 542-2000
Entity
Organization
Contact information
Practice address
2124 W 21ST PL, CHICAGO, IL 60608-4010
(773) 890-7676
Mailing address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0001644
IL
Other
Enumeration date
11/04/2010
Last updated
09/12/2011
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