Organization
MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP
Active
Parent organization
MOUNT SINAI COMMUNITY FOUNDATION
Other names
SMG at SCI-Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Authorized official
DR. JOHN E. VAZQUEZ MD (CMO)
(773) 257-6850
Entity
Organization
Contact information
Practice address
2653 W OGDEN AVE, 3RD FLOOR SUITE A,, CHICAGO, IL 60608-1647
(773) 257-6840
(773) 257-6712
Mailing address
3537 PAYSPHERE CIR, CHICAGO, IL 60674-0035
(708) 786-2900
(708) 786-2992
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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