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Organization

MOUNT SINAI COMMUNITY FOUNDATION

Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP
Other names
Sinai Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP
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) 257-6840
Mailing address
3537 PAYSPHERE CIR, CHICAGO, IL 60674-0035
(708) 786-2900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
IL
208600000X
Surgery Physician
Primary

Other

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