Organization
MOUNT SINAI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA PENETRANTE MANAIG M.D. (HOUSE STAFF RESIDENT PL-3)
(773) 257-1885
Entity
Organization
Contact information
Practice address
5030 N RIDGEWAY AVE UNIT 2, CHICAGO, IL 60625-6022
(773) 257-6183
Mailing address
CALIFORNIA AVE AT 15TH ST., F44, CHICAGO, IL 60608
(773) 257-6183
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
IL
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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