Organization
MOUNT SINAI COMMUNITY FOUNDATION
Active
Other names
Sinai Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER SPROWL (PRESIDENT SINAI MEDICAL GROUP)
(773) 542-2000
Entity
Organization
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6542
Mailing address
26460 NETWORK PL, CHICAGO, IL 60674-0035
(708) 786-2900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
282NR1301X
Rural Acute Care Hospital
—
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
357801
MEDICARE PTAN
—
01
—
6458400001
DME NUMBER
IL
Enumeration date
05/19/2006
Last updated
07/21/2022
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