| Sinai Medical Group | |
|
1501 S California Ave Chicago IL 60608-1732 | |
| (773) 257-6542 | |
| Not Available |
| Full Name | Sinai Medical Group |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1501 S California Ave, Chicago, Illinois |
| Authorized Official Name and Position | Christopher Sprowl (PRESIDENT SINAI MEDICAL GROUP) |
| Authorized Official Contact | 7735422000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sinai Medical Group 26460 Network Pl Chicago IL 60674-0035 Ph: (708) 786-2900 | Sinai Medical Group 1501 S California Ave Chicago IL 60608-1732 Ph: (773) 257-6542 |
| NPI Number | 1982657854 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5991600405 |
|---|---|
| Medicare Enrollment ID | O20221222002572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982657854 | NPI | - | NPPES |
| 6458400001 | Other | IL | DME NUMBER |
| 357801 | Other | MEDICARE PTAN |
| Provider Name | Thomas Patrick Sullivan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1154687549 PECOS PAC ID: 0941503007 Enrollment ID: I20220422001763 |
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