| Mount Sinai Hospital Medical Center | |
|
1501 S California Ave # L1026 Chicago IL 60608-1732 | |
| (773) 257-6097 | |
| Not Available |
| Full Name | Mount Sinai Hospital Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1501 S California Ave # L1026, Chicago, Illinois |
| Authorized Official Name and Position | Amritpal Singh Jawanda (RESIDENT) |
| Authorized Official Contact | 3602242599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Sinai Hospital Medical Center 1501 S California Ave # L1026 Chicago IL 60608-1732 Ph: (773) 257-6097 | Mount Sinai Hospital Medical Center 1501 S California Ave # L1026 Chicago IL 60608-1732 Ph: (773) 257-6097 |
| NPI Number | 1407209208 |
|---|---|
| Provider Enumeration Date | 07/16/2016 |
| Last Update Date | 07/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407209208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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