MOUNT SINAI COMMUNITY FOUNDATION DBA SINIA MEDICAL GROUP (NPI# 1447890645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447890645 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI COMMUNITY FOUNDATION DBA SINIA MEDICAL GROUP |
| Practice Address |
1859 S Blue Island Ave Chicago IL 60608-3012 |
| Mailing Address |
1501 S California Ave # 7-140 Chicago IL 60608-1732 |
| Practice Telephone | 7735218330 |
| Practice Fax Number | 7737333541 |
| Mailing Telephone | 7732572905 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | DEBORAH CAPUTO (MANAGER) |
| Authorized Official Telephone | 7372572905 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sinai Convenient Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881037976 | Mount Sinai Community Foundation Dba Sinia Medical Group | Clinic/Center | 2653 W Ogden Ave, 3rd Floor Suite A, Chicago, IL 60608-1647 | 2013-04-09 |
| Street Address |
1859 S BLUE ISLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760561617 | Pilsen Community Pediatrics S. C. | Pediatrics | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2006-11-03 |
| 1003374182 | Brenda Ruiz | Nurse Practitioner | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2019-03-07 |
| 1407264583 | Mount Sinai Community Foundation Dba Sinai Medical Group | Obstetrics & Gynecology | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2014-08-01 |
| 1922442086 | North Suburban Orthodontics, Ltd | Dentist | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2013-04-19 |
| 1467682872 | Universal Medical Care | Obstetrics & Gynecology | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2009-07-20 |
| 1144456658 | Pilsen Dental Group | Dentist | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2009-06-10 |
| 1437228806 | Gustavo E Oroza-henners | Pediatrics | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2006-11-07 |
| 1760561344 | Linda Meza | Pediatrics | 1859 S Blue Island Ave, Chicago, IL 60608 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
| 1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
| 1861964959 | Midway Medical | Clinic/Center | 2 W 103rd St, Chicago, IL 60628-2619 | 2018-12-30 |
| 1043727571 | The Board of Trustees of The University of Illinois | Clinic/Center | 835 S. Wolcott, Suite E-144; Mc 684, Chicago, IL 60612 | 2018-01-05 |
| 1386099562 | Healthworks Medical Group of Illinois S C | Clinic/Center | Gem Building 723, 1st Floor, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-26 |
| 1235584475 | Healthworks Medical Group of Illinois S C | Clinic/Center | Terminal 3, K19 Concourse, Ramp Level Rm 100, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-25 |
| 1689904039 | Prime Care Medical and Physical Therapy Centers, S.c. | Clinic/Center | 1719 W 18th St, Chicago, IL 60608-1913 | 2010-01-07 |
| 1790938249 | Healing Hands Resource Center | Clinic/Center | 3143 W Douglas Blvd, Chicago, IL 60623-1816 | 2008-10-28 |
| 1770739591 | Alivio Medical Center Inc | Clinic/Center | 3120 S Kostner Ave, Chicago, IL 60623-4842 | 2008-08-12 |
| 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.