Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG at Oak Street Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
DEBORAH CAPUTO (MANAGER)
(773) 257-2905
Entity
Organization
Contact information
Practice address
4318 S STATE ST, CHICAGO, IL 60609-3701
(773) 285-9304
(773) 564-3501
Mailing address
4318 S STATE ST, CHICAGO, IL 60609-3701
(773) 285-9304
(773) 564-3501
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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