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MOUNT SINAI COMMUNITY FOUDATION NPI 1104242718


NPI Information

NPI: 1104242718
Provider Name: MOUNT SINAI COMMUNITY FOUDATION

Doing Business As: HOLY CROSS PHYSICIAN PAVILLION

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D2125094

Address:
2701 W 68TH ST
CHICAGO, IL
ZIP 60629
Phone: (773) 884-7920
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MOUNT SINAI COMMUNITY FOUDATION is an internal medicine in Chicago, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MOUNT SINAI COMMUNITY FOUDATION NPI is 1104242718. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Holy Cross Physician Pavillion.

The provider's business location address is:

2701 W 68TH ST
CHICAGO, IL
ZIP 60629-813
Phone: (773) 884-7920

The provider's authorized official is John E Vazquez .
The authorized official title is Cmo and has the following contact phone number (773) 257-6850.

The CLIA number assigned to this NPI record is 14D2125094 - ancillary testing site in health care center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/7/2014 and was last updated on 3/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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