MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP (NPI# 1104471622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104471622 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP |
| Practice Address |
645 S Central Ave Fl 6 Chicago IL 60644-5059 |
| Mailing Address |
1501 S California Ave Nr 7-130 Chicago IL 60608 |
| Practice Telephone | 7738545328 |
| Practice Fax Number | 7738545587 |
| Mailing Telephone | 7732572905 |
| Mailing Fax Number | 7732571788 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | DEBORAH CAPUTO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7732572905 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SMG OB on Central | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1194168377 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1611 S Cicero Ave, Cicero, IL 60804-1520 | 2013-04-08 |
| 1407264583 | Mount Sinai Community Foundation Dba Sinai Medical Group | Obstetrics & Gynecology | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2014-08-01 |
| 1023451119 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2653 W Ogden Ave, 3rd Floor Suite A, Chicago, IL 60608-1647 | 2013-04-09 |
| 1801239991 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2653 W Ogden Ave, 3rd Floor Suite A, Chicago, IL 60608-1647 | 2013-04-09 |
| Street Address |
645 S CENTRAL AVE FL 6 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396100384 | Tatiana Araujo | Obstetrics & Gynecology | 1500 S Fairfield Ave Ste F-206, Chicago, IL 60608-1782 | 2015-12-18 |
| 1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
| 1245433093 | Marko Lekovic, M.d.,s.c. | Obstetrics & Gynecology | 6433 Pulaski Road, Chicago, IL 60629 | 2007-06-08 |
| 1245454222 | V Greene Md PC | Obstetrics & Gynecology | 1322 E 47th St, Chicago, IL 60653-4508 | 2007-04-12 |
| 1659449106 | Somboon Sriaroon | Obstetrics & Gynecology | 2820 W Peterson Ave, Chicago, IL 60659-3803 | 2006-12-01 |
| 1427007582 | Melvin C Bunn | Obstetrics & Gynecology | 1135 E 87th St, Chicago, IL 60619-7011 | 2006-05-08 |
| 1871048058 | Annika Nilsen | Obstetrics & Gynecology | 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 | 2016-08-17 |
| 1881049666 | Tiphany Jackson | Obstetrics & Gynecology | 1701 W Superior St, Chicago, IL 60622-5646 | 2016-04-28 |
| 1558789826 | Raanan Alter | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2050, Chicago, IL 60637 | 2014-04-02 |
| 1467682872 | Universal Medical Care | Obstetrics & Gynecology | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2009-07-20 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.