Organization
MT SINAI PEDIATRIC CENTER
Active
Parent organization
COOK COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK COUNTY
Authorized official
SCOTT ANDRLE (DIRECTOR OF MANAGED CARE OPERATIONS)
(312) 864-4649
Entity
Organization
Contact information
Practice address
2653 W OGDEN AVE, CHICAGO, IL 60608
(773) 522-2010
Mailing address
1900 W POLK ST STE 220C, CHICAGO, IL 60612-3723
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
04/12/2019
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