MOUNT SINAI COMMUNITY FOUNDATION NPI 1861024176

NPI Information

NPI: 1861024176
Provider Name: MOUNT SINAI COMMUNITY FOUNDATION

Doing Business As: SINAI MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 14D2022001

Address:
1414 S FAIRFIELD
CHICAGO, IL
ZIP 60608
Phone: (773) 565-3200
Get Directions

MOUNT SINAI COMMUNITY FOUNDATION is a multi-specialty clinic center in Chicago, IL. MOUNT SINAI COMMUNITY FOUNDATION NPI is 1861024176. The provider is registered as an organization entity type.
The provider Is Doing Business As Sinai Medical Group.

The provider's business location address is:

1414 S FAIRFIELD
CHICAGO, IL
ZIP 60608
Phone: (773) 565-3200

The provider's authorized official is Deborah Caputo .
The authorized official title is Manager and has the following contact phone number (737) 257-2905.

The CLIA number assigned to this NPI record is 14D2022001 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2020 and was last updated on 2/25/2020.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 11/14/2023

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