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Organization

MOUNTSINAI COMMUNITY FOUNDATION

Active
Parent organization
MOUNTSINAI COMMUNITY FOUNDATION
Other names
SINAI MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOUNTSINAI COMMUNITY FOUNDATION
Authorized official
DR. JOHN E VAZQUEZ M.D. (CHIEF MEDICAL OFFICER)
(773) 257-6850
Entity
Organization

Contact information

Practice address
2720 W. 15TH, CHICAGO, IL 60608-1647
(773) 257-6892
Mailing address
3537 PAYSPHERE CIR, CHICAGO, IL 60674-0035
(708) 786-2900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
IL

Other

Enumeration date
02/05/2007
Last updated
07/21/2022
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