MOUNT SINAI COMMUNITY FOUNDATION (NPI# 1215046347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215046347 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI COMMUNITY FOUNDATION |
| Other Organization Name | SMG WEST CHICAGO PHYSICIANS ASSOCIATES |
| Practice Address |
610 S Maple Ave Ste 2100 Oak Park IL 60304-1091 |
| Mailing Address |
1501 S California Ave Chicago IL 60608-1732 |
| Practice Telephone | 7088487373 |
| Practice Fax Number | 7088485240 |
| Mailing Telephone | 7087862905 |
| Mailing Fax Number | 7737628500 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-05-31 |
| Authorized Official Name | JOHN E. VAZQUEZ (CMO) |
| Authorized Official Telephone | 7732576850 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SMG West Chicago Physicians Associates | Doing Business As Name - Organization |
| 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 |
| Street Address |
610 S MAPLE AVE STE 2100 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60304-1091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653838 | Mohammad Ajmal Khan | Internal Medicine | 610 S Maple Ave, Suite 3440, Oak Park, IL 60304-1091 | 2005-07-19 |
| 1619356649 | Encounter Medical | Clinic/Center | 610 S Maple Ave, Suite 3400, Oak Park, IL 60304-1091 | 2015-05-22 |
| 1265833826 | Megan Rosemary Reichard | Nurse Practitioner | 610 S Maple Ave, Oak Park, IL 60304-1091 | 2014-09-12 |
| 1215337753 | Nathaniel Cercavschi | Physical Therapist | 610 S Maple Ave, Oak Park, IL 60304-1091 | 2014-09-03 |
| 1124447412 | Encounter Medical Group, P.C. | Community/Behavioral Health | 610 S Maple Ave, Suite 3400, Oak Park, IL 60304-1091 | 2014-04-15 |
| 1205258209 | Health Delivery Management, LLC | Pharmacy | 610 S Maple Ave, Suite 1600, Oak Park, IL 60304-1091 | 2014-01-09 |
| 1033468665 | Ashley Serfilippi | Student in an Organized Health Care Education/Training Program | 610 S Maple Ave, Oak Park, IL 60304-1091 | 2012-08-29 |
| 1396093720 | Andrea Grubb Barthwell | General Practice | 610 S Maple Ave, Suite 3400, Oak Park, IL 60304-1091 | 2012-08-15 |
| 1396018453 | Rush Oak Park Physicians Group Anchor | Internal Medicine | 610 S Maple Ave, Suite 3900, Oak Park, IL 60304-1091 | 2012-02-20 |
| 1548531924 | Rush Oak Park Physicians Group Adult Medicine | Internal Medicine | 610 S Maple Ave, Suite 4600, Oak Park, IL 60304-1091 | 2012-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288532 | Kane Physiotherapy, LLC | Physical Therapist | 617 S. Harvey Ave., Oak Park, IL 60304 | 2020-09-08 |
| 1982221909 | Rachel Hunter | Marriage & Family Therapist | 283 Fillmore Street, Oak Park, IL 60304 | 2020-06-26 |
| 1073086211 | Miguel N Reyes Jr. | Behavioral Analyst | 6930 Roosevelt Rd., Oak Park, IL 60304 | 2019-01-10 |
| 1144722687 | Jesus Torres | Behavior Technician | 6930 W Roosevelt Rd, Oak Park, IL 60304 | 2018-03-01 |
| 1184143190 | Ruth Sharel Babcock | Social Worker | 927 S. Kenilworth Ave., Oak Park, IL 60304 | 2017-09-12 |
| 1053832774 | Anna M Bonick | Doula | 528 S. Taylor Ave., Oak Park, IL 60304 | 2017-07-03 |
| 1982968806 | Monica Singhvi | Family Medicine | 610 S Maple Ave Ste 4600, Oak Park, IL 60304 | 2012-06-25 |
| 1588954135 | Rachana Parag Shah | Physical Medicine & Rehabilitation | 610 S. Maple #3420, Oak Park, IL 60304 | 2011-04-17 |
| 1972825818 | Meghan Mcintyre | Counselor | 610 South Maple Avenue, Suite 3400, Oak Park, IL 60304 | 2010-02-19 |
| 1992953954 | Beverly Harrison Dale | Speech-Language Pathologist | 520 S. Maple Ave, Roph, Oak Park, IL 60304 | 2008-09-03 |
| Find all providers in zip 60304 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225665789 | Tyler Luu | Internal Medicine | 420 Home Ave Apt 207n, Oak Park, IL 60302-3715 | 2020-03-25 |
| 1720551096 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 1 Erie Ct Ste 7000, Oak Park, IL 60302-2567 | 2019-01-09 |
| 1699102632 | I Priority Pt LLC | Internal Medicine | 21700 Greenfield Rd Ste 215, Oak Park, MI 48237-2532 | 2013-10-05 |
| 1104115468 | Lisa Davidoff | Internal Medicine | 7005 North Ave, Oak Park, IL 60302-1001 | 2011-04-06 |
| 1215248984 | Angela Aboutalib | Internal Medicine | 3 Erie Ct Ste L-700, Oak Park, IL 60302-2519 | 2010-06-28 |
| 1750617916 | Venkata Sai Srikanth Moningi | Internal Medicine | 516 Harrison St, Apt Bc, Oak Park, IL 60304-1446 | 2009-10-22 |
| 1063651305 | Anarkali Internists Sc | Internal Medicine | 1035 N Marion St, Oak Park, IL 60302-1374 | 2009-02-10 |
| 1952577819 | Izuchukwu Nwafo | Internal Medicine | 1170 S East Ave, Oak Park, IL 60304-2143 | 2008-05-01 |
| 1053584227 | Jyotsna Bhatt | Internal Medicine | 101 Madidon Street, Suite 204, Oak Park, IL 60302-4210 | 2008-04-09 |
| 1255502464 | Emelita C. Co, M.d. S.c. | Internal Medicine | 610 S Maple Ave Ste 3300, Oak Park, IL 60304-2803 | 2008-03-14 |
| Find all providers in OAK PARK | ||||
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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.