Provider Type Icon

MOUNT SINAI COMMUNITY FOUNDATION NPI 1629494224


NPI Information

NPI: 1629494224
Provider Name: MOUNT SINAI COMMUNITY FOUNDATION

Doing Business As: SOUTHWEST HEMATOLOGY/ONCOLOGY CONSULTANTS

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 14D2136518

Address:
26460 NETWORK PL
CHICAGO, IL
ZIP 60673
Phone: (708) 786-2900
Get Directions

MOUNT SINAI COMMUNITY FOUNDATION is a hematology and oncology internal medicine in Chicago, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MOUNT SINAI COMMUNITY FOUNDATION NPI is 1629494224. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southwest Hematology/oncology Consultants.

The provider's business location address is:

26460 NETWORK PL
CHICAGO, IL
ZIP 60673-264
Phone: (708) 786-2900
Fax: (708) 786-2992

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 14D2136518 - independent with a certificate type of Certificate of Waiver.

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
1207RH0003XInternal MedicineHematology & OncologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.