Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mount Sinai Community Foundation

Organization Family Medicine Physician · NPI 1114381977

Mount Sinai Community Foundation is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

6449 S Pulaski Rd Ste 211
Chicago, IL 60629-5148
Phone: (773) 581-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1114381977
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Sinai Community Foundation
Authorized official John Vazquez — Cmo · (773) 257-6850
Other names Smg West Lawn
NPI enumeratedApril 7, 2016
Last updated in NPPESApril 7, 2016
Mailing address6449 S Pulaski Rd, Ste 211, Chicago, IL 60629-5148

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