MOUNT SINAI COMMUNITY FOUNDATION NPI 1013331818

NPI Information

  • NPI: 1013331818
  • Provider Name: MOUNT SINAI COMMUNITY FOUNDATION
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Doing Business As: SINAI MEDICAL GROUP
  • Address: 1501 S CALIFORNIA AVE
    CHICAGO, IL
    ZIP 60608
  • Phone: (773) 257-6663

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NPI Details

MOUNT SINAI COMMUNITY FOUNDATION is a surgical physician assistant in Chicago, IL. MOUNT SINAI COMMUNITY FOUNDATION NPI is 1013331818. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sinai Medical Group.

The provider's business location address is:

1501 S CALIFORNIA AVE
CHICAGO, IL
ZIP 60608-732
Phone: (773) 257-6663
Fax: (773) 257-6431

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

The enumeration date for this NPI number is 2/13/2014 and was last updated on 2/13/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalNUMBERILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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