| Sinai Medical Group | |
|
1108 S Kedzie Ave Chicago IL 60612-3935 | |
| (773) 722-2712 | |
| Not Available |
| Full Name | Sinai Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1108 S Kedzie Ave, Chicago, Illinois |
| Authorized Official Name and Position | John E Vazquez (CEO) |
| Authorized Official Contact | 7732576850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sinai Medical Group 3537 Paysphere Cir Chicago IL 60674-0035 Ph: (708) 786-2900 | Sinai Medical Group 1108 S Kedzie Ave Chicago IL 60612-3935 Ph: (773) 722-2712 |
| NPI Number | 1225125677 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225125677 | NPI | - | NPPES |
| 5783350002 | Other | IL | DME NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Illinois) | Secondary |
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