Organization · Type 2 NPI

Mount Sinai Community Foundation dba Sinai Medical Group

Family Medicine Physician · Chicago, IL

NPI number 1407264583 Active

Practice location

1859 S Blue Island Ave
Chicago, IL 60608-3012

Call (773) 738-3111 Map

Fax (773) 738-5211

Mailing address

26460 Network Pl
Chicago, IL 60673-3012

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

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NPI record

NPI: 1407264583
Entity type: Organization (Type 2)
Issued: Aug 1, 2014
Last updated: Feb 5, 2020
Status: Active
Subpart: Yes of Mount Sinai Community Foundation dba Sinai Medical Group

Other names

<unavail>
Sinia Medical Group · doing business as
Sinai Convenient Care · other name

Authorized official

Deb Caputo
Manager
(773) 257-2905

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407264583

Mount Sinai Community Foundation dba Sinai Medical Group's National Provider Identifier is 1407264583, issued on Aug 1, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 5, 2020.