Mount Sinai Community Foundation DBA Sinai Medical Group

NPI #1194168377 in Cicero, Illinois

Provider Information

NPI Number: 1194168377
Entity Type: Organization
Organization Name: Mount Sinai Community Foundation DBA Sinai Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: MOUNT SINAI COMMUNITY FOUNDATION
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Apr 8, 2013
Last Updated: Apr 8, 2013

Practice Location

Address: 1611 S CICERO AVE
City: Cicero
State: Illinois
ZIP Code: 60804-1520
Phone: (708) 477-4840

Authorized Official

Name: JOHN E VAZQUEZ, MD
Title: CMO
Phone: (773) 257-3850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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