Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG Psychiatry Holy Cross
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
JOHN E VAZQUEZ MD (CMO)
(773) 257-6850
Entity
Organization
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 257-6672
(773) 257-5330
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(708) 786-2905
(773) 782-8500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
12/27/2013
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