Organization · Type 2 NPI

MT Sinai Pediatric Center FFS

Family Medicine Physician · Chicago, IL

NPI number 1891329488 Active

Practice location

2653 W Ogden Ave
Chicago, IL 60608-1647

Call (773) 522-2010 Map

Mailing address

1900 W Polk St Rm 220C
Chicago, IL 60612-3723

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	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.

28 other providers at this address

Other family medicine physician providers in Chicago

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NPI record

NPI: 1891329488
Entity type: Organization (Type 2)
Issued: Feb 24, 2020
Last updated: May 22, 2020
Status: Active
Subpart: Yes of Cook County

Other names

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MT Sinai Pediatric Center FFS · doing business as
MT Sinai Pediatric Center FFS · doing business as

Authorized official

Scott Andrle
Director of Managed Care Operations
(312) 864-4649

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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 1891329488

MT Sinai Pediatric Center FFS's National Provider Identifier is 1891329488, issued on Feb 24, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chicago, IL. The record was last updated on May 22, 2020.