Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG St Jude
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
JOHN VAZQUEZ (CMO)
(773) 257-6850
Entity
Organization
Contact information
Practice address
3943 W 31ST ST, CHICAGO, IL 60623-4936
(773) 523-8773
(773) 523-9259
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(708) 786-2900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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