MOUNT SINAI COMMUNITY FOUNDATION (NPI# 1629494224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629494224 |
Entity Type | Organization |
Organization Name | MOUNT SINAI COMMUNITY FOUNDATION |
Other Organization Name | SOUTHWEST HEMATOLOGY/ONCOLOGY CONSULTANTS |
Practice Address |
26460 Network Pl Chicago IL 60673-1264 |
Mailing Address |
6319 W 87th St Suite #1 Oak Lawn IL 60453 |
Practice Telephone | 7087862900 |
Practice Fax Number | 7087862992 |
Mailing Telephone | 7082335636 |
Enumeration Date | 2014-03-07 |
Last Update Date | 2014-03-07 |
Authorized Official Name | JOHN E VAZQUEZ (CMO) |
Authorized Official Telephone | 7732576850 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | MOUNT SINAI COMMUNITY FOUNDATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Southwest Hematology/Oncology Consultants | 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 |
26460 NETWORK PL |
City | CHICAGO |
State | IL |
Zip Code | 60673-1264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
1356779532 | Mount Sinai Community Foundation | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2013-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912091182 | Jessica J Kandel | Surgery | 5841 S. Maryland Ave, University of Chicago, Section of Pediatric Surgery, Chicago, IL 60673 | 2006-10-03 |
1154602043 | Mvc-chicago, S.c. | Phlebology | 680 N Lake Shore Dr Suite 104, Chicago, IL 60673-1050 | 2011-09-06 |
1376933119 | First Script Network Services | Pharmacy | 24160 Network Pl, Chicago, IL 60673-1241 | 2015-02-02 |
1255778122 | Smg At Sci -obgyn | Obstetrics & Gynecology | 2653 W Ogden Ave, Chicago, IL 60673-1264 | 2013-05-31 |
1558462531 | Kurt P Heinking | Neuromusculoskeletal Medicine & OMM | 26520 Network Pl, Chicago, IL 60673-1265 | 2006-09-25 |
1194223099 | Regional Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 29194 Network Pl, Chicago, IL 60673-1291 | 2018-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
1558962720 | Christine Nance | Registered Nurse | 125 W 109th St, Chicago, IL 60628-3432 | 2020-11-04 |
1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
Find all providers in CHICAGO |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
1225337017 | Karan Singh Dixit | Internal Medicine | 675 N Saint Clair St Ste 21-110, Chicago, IL 60611-5975 | 2011-03-20 |
1801034830 | Jonas Araujo De Souza | Internal Medicine | 5200 S Ellis Ave, Apt 118n, Chicago, IL 60615-4365 | 2009-01-29 |
1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
1275713307 | John Baxter Watson Md Sc | Internal Medicine | 2900 N Lake Shore Dr # 458, Chicago, IL 60657-5640 | 2007-11-06 |
1043499866 | Solomon Adler | Internal Medicine | 2828 W Coyle Ave, Chicago, IL 60645-2922 | 2007-10-29 |
1518168202 | Kelley Kozma | Internal Medicine | 2900 N Lake Shore Dr Ste 7e, Chicago, IL 60657-5640 | 2007-05-30 |
Find all providers in CHICAGO |
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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.