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Organization

MOUNT SINAI HOSPITAL MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN C TEITELBAUM (EXECUTIVE VICE PRESIDENT/COO)
(773) 257-5332
Entity
Organization

Contact information

Practice address
2750 W 15TH PL, CHICAGO, IL 60608-1704
(773) 257-5300
Mailing address
2750 W 15TH PL, CHICAGO, IL 60608-1704
(773) 257-5300

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0001644
IL

Other

Enumeration date
07/07/2011
Last updated
09/14/2020
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