MOUNT SINAI COMMUNITY FOUNDATION


Address: 4900 S Archer Ave, Ste 1, Chicago, IL 60632-3663
Phone: 7737678375

MOUNT SINAI COMMUNITY FOUNDATION (NPI# 1467833350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467833350
Entity Type Organization
Organization Name MOUNT SINAI COMMUNITY FOUNDATION
Other Organization Name SMG THE HEART SPECIALIST
Practice Address 4900 S Archer Ave
Ste 1
Chicago
IL 60632-3663
Practice Telephone 7737678375
Mailing Telephone 7737678375
Enumeration Date 2015-06-16
Last Update Date 2015-06-16
Authorized Official Name JOHN VAZQUEZ (CMO)
Authorized Official Telephone 7732576850
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name MOUNT SINAI COMMUNITY FOUNDATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SMG The Heart Specialist Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1609072313 Mount Sinai Community Foundation Psychiatric Hospital 2040 W Washington Blvd, Chicago, IL 60612-2429 2007-06-21
1649318148 Mount Sinai Community Foundation Surgery 2720 W. 15th, Chicago, IL 60608-1647 2007-02-05
1952449456 Mount Sinai Community Foundation Internal Medicine 2901 W Touhy Ave, Chicago, IL 60645-2937 2007-02-05
1679611628 Mount Sinai Community Foundation Internal Medicine 2720 W 15th, Chicago, IL 60608-1647 2007-02-02
1144383084 Mount Sinai Community Foundation Internal Medicine 3111 W Armitage Ave, Chicago, IL 60647-3818 2006-12-19
1851454698 Mount Sinai Community Foundation Internal Medicine 2218 S. Michigan Ave, Smg Lakeside Medical Center, Chicago, IL 60616-2189 2006-12-19
1134164841 Mount Sinai Community Foundation Family Medicine 1400 E. Golf Rd, Suite 118, Des Plaines, IL 60016 2006-06-17
1497374805 Mount Sinai Community Foundation Clinic/Center 2653 W Ogden Ave, Chicago, IL 60608-1647 2020-04-15
1720538572 Mount Sinai Community Foundation Internal Medicine 4318 S State St, Chicago, IL 60609-3701 2016-10-05

Office Location

Street Address 4900 S ARCHER AVE
STE 1
City CHICAGO
State IL
Zip Code 60632-3663

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710997259 Ashish Mukherjee Internal Medicine 4900 S Archer Ave, Suite 1, Chicago, IL 60632-3663 2006-08-08
1568883908 Mount Sinai Community Foundation Internal Medicine 4900 S Archer Ave, Chicago, IL 60632-3663 2014-01-03
1871765743 Gabriela Baltierres Dentist 4900 S Archer Ave, Chicago, IL 60632-3663 2008-03-31
1033304571 Heart Specialist, Ltd Internal Medicine 4900 S Archer Ave, Chicago, IL 60632-3663 2007-09-07
1730210154 Baltierres Dental P.C. Clinic/Center 4900 S Archer Ave, Chicago, IL 60632-3663 2007-03-08
1205931243 John R Bylewski Internal Medicine 4900 S Archer Ave, Suite 5, Chicago, IL 60632 2006-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104474790 Amanda Rose Dirnberger Nurse Practitioner 3229-43 W. 47th Pl., Chicago, IL 60632 2019-08-28
1982121042 Brown Archer Dental PC Dentist 4893 S Archer Ave, Chicago, IL 60632 2017-08-29
1538577085 Metrosmiles - Archer Heights Dental Dentist 5141 S Cicero Ave, Chicago, IL 60632 2014-07-29
1174955173 Thresholds Community/Behavioral Health 718-24 West 47th St, Chicago, IL 60632 2013-08-01
1659612570 Sapex Home Healthcare, Inc. In Home Supportive Care 4107 West 47th Street, Chicago, IL 60632 2013-03-04
1912275462 Dawn Marie Mackessy Pharmacist 5435 S. Kedzie Ave, Chicago, IL 60632 2011-12-12
1033494752 Molly Elizabeth Mcdermott Pharmacist District 222-walgreens, Chicago, IL 60632 2011-10-13
1780908434 Chicago Electrical Trauma Research Institute Specialist/Technologist, Other 4047 W. 40th Street, Chicago, IL 60632 2010-03-24
1265765218 4365 Archer Mri, LLC Clinic/Center 4365 South Archer Avenue, Chicago, IL 60632 2009-09-09
1295968121 Smile Lee Faces Dentist 4197 S Archer Ave, Chicago, IL 60632 2009-08-26
Find all providers in zip 60632

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427457399 Charles Joseph Frahm Internal Medicine 1200 E Madison Park, Chicago, IL 60615-2961 2014-08-17
1225447725 Jeremy R. Estrada Internal Medicine 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 2014-08-08
1285049197 Nidhi Madan Internal Medicine 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 2014-06-30
1588097596 Atif Khawaja Hassan Internal Medicine 5140 N California Ave Ste 740, Chicago, IL 60625-7066 2013-08-13
1952651382 Rajeev Ruben Fernando Internal Medicine 365 N Jefferson St, 2712, Chicago, IL 60661-1226 2012-09-13
1174888945 Mohammad Tarek Kabbany Internal Medicine 676 N Saint Clair St Ste 7-730, Chicago, IL 60611-2927 2012-07-09
1740589175 United Diagnostic Services, LLC Internal Medicine 6124 N Milwaukee Ave Ste 2, Chicago, IL 60646-3820 2011-03-24
1932361433 Sanjay S Gill Internal Medicine 2266 N. Lincoln Ave., 3, Chicago, IL 60614 2008-06-26
1053571208 Curewell Diagnostic Services LLC Internal Medicine 6124 N Milwaukee Ave Ste 1, Chicago, IL 60646-3820 2008-06-11
1972760718 Steve Attanasio Internal Medicine 1725 W Harrison St Ste 1159, Chicago, IL 60612 2008-05-20
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60632

Improve Information

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Dataset Information

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.

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